Penetrating thoracic injury requiring emergency pneumonectomy supported with two ECMO runs: A testament to multidisciplinary critical care medicine

Aryeneesh Dotiwala; Piyush Kalakoti; Laurie R. Grier; Marco Quispe; L. Keith Scott; Steven A. Conrad; Navdeep S. Samra

Trauma Case Reports (Apr 2023)

Penetrating thoracic injury requiring emergency pneumonectomy supported with two ECMO runs: A testament to multidisciplinary critical care medicine

Aryeneesh Dotiwala,
Piyush Kalakoti,
Laurie R. Grier,
Marco Quispe,
L. Keith Scott,
Steven A. Conrad,
Navdeep S. Samra

Affiliations

Aryeneesh Dotiwala: Division of Trauma, Acute Care Surgery & Surgical Critical Care, Department of General Surgery, LSU Health - Shreveport, Shreveport, LA, United States
Piyush Kalakoti: Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, United States; Department of Surgery, Yale School of Medicine, New Haven, CT, United States
Laurie R. Grier: Department of Emergency Medicine, LSU Health - Shreveport, Shreveport, LA, United States
Marco Quispe: Department of Emergency Medicine, LSU Health - Shreveport, Shreveport, LA, United States
L. Keith Scott: Division of Trauma, Acute Care Surgery & Surgical Critical Care, Department of General Surgery, LSU Health - Shreveport, Shreveport, LA, United States; Department of Emergency Medicine, LSU Health - Shreveport, Shreveport, LA, United States
Steven A. Conrad: Division of Trauma, Acute Care Surgery & Surgical Critical Care, Department of General Surgery, LSU Health - Shreveport, Shreveport, LA, United States; Department of Emergency Medicine, LSU Health - Shreveport, Shreveport, LA, United States
Navdeep S. Samra: Division of Trauma, Acute Care Surgery & Surgical Critical Care, Department of General Surgery, LSU Health - Shreveport, Shreveport, LA, United States; Corresponding author at: Department of Surgery, Division of Trauma and Surgical Critical Care, LSU Health – Shreveport, Shreveport, LA 71103, United States.

Journal volume & issue: Vol. 44
p. 100779

Abstract

Read online

Post-traumatic pneumonectomies are uncommon and, if necessary, carry significant mortality. The use of extracorporeal membrane oxygenation (ECMO) for lung injury in trauma patient has demonstrated efficacy with minimal bleeding complications. We report a case of a young man with a penetrating thoracic injury that required a pneumonectomy supported with two separate ECMO runs for pulmonary failure postoperatively.

Published in Trauma Case Reports

ISSN: 2352-6440 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Surgery
Website: https://www.journals.elsevier.com/trauma-case-reports/

About the journal

Abstract

Keywords