Postoperative extracorporeal membrane oxygenation for severe intraoperative SIRS 10 h after multiple trauma

M. Schupp, J. L.C. Swanevelder, G. J. Peek, A. W. Sosnowski, T. J. Spyt

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

A 34-yr-old male suffered multiple trauma in a road traffic accident. He required right thoracotomy and laparotomy to control exanguinating haemorrhage, and received 93 u blood and blood products. Intraoperatively, he developed severe systemic inflammatory response syndrome (SIRS) with coagulopathy and respiratory failure. At the end of the procedure, the mean arterial pressure (MAP) was 40 mm Hg, arterial blood gas analysis showed a pH of 6.9, PaCO2, 12 kPa, and PaO2 4.5 kPa, and his core temperature was 29°C. There was established disseminated intravascular coagulation. The decision was made to stabilize the patient on venovenous extracorporeal membrane oxygenation (ECMO) only 10 h after the accident, in spite of the high risk of haemorrhage. The patient was stabilized within 60 min and transferred to the intensive care unit. He was weaned off ECMO after 51 h. He had no haemorrhagic complications, spent 3 weeks in the intensive care unit, and has made a good recovery.

Original languageEnglish (US)
Pages (from-to)91-94
Number of pages4
JournalBritish Journal of Anaesthesia
Volume90
Issue number1
DOIs
StatePublished - Jan 1 2003

Keywords

  • Acid-base equilibrium, metabolic acidosis
  • Blood, transfusion
  • Complications, trauma
  • Oxygen, delivery systems, extracorporeal membrane oxygenation

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Fingerprint Dive into the research topics of 'Postoperative extracorporeal membrane oxygenation for severe intraoperative SIRS 10 h after multiple trauma'. Together they form a unique fingerprint.

  • Cite this