Multiple decompressive craniectomies and hematoma evacuation in a patient undergoing extracorporeal membrane oxygenation

Bindal, Shivani; Conner, Christopher R.; Akkanti, Bindu; Nathan, Sriram; Choi, H. Alex; Kar, Biswajit; Tandon, Nitin

doi:10.1016/j.inat.2022.101610

Cited by 4 publications

(2 citation statements)

References 12 publications

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“…There have even been reports of successful craniotomies while on extracorporeal support. 25,26 Certainly, the use of extracorporeal carbon dioxide removal could be particularly helpful in TBI patients with ARDS for whom permissive hypercapnia is not an option. Extracorporeal support can help to lower arterial carbon dioxide, reducing intracranial pressure, without employing ventilation strategies with high mean airway pressures typically used in ARDS that may impede cerebral venous drainage.…”

Section: Central Nervous System Injuriesmentioning

confidence: 99%

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ECMO in trauma care: What you need to know

Flatley,

Sams,

Biscotti

et al. 2023

J Trauma Acute Care Surg

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Over the past ten years, extracorporeal membrane oxygenation (ECMO) use in trauma patients has increased significantly. This includes adult and pediatric trauma patients and even combat casualties. Most ECMO applications are in a venovenous (VV ECMO) configuration for acute hypoxemic respiratory failure or anatomic injuries that require pneumonectomy or extreme lung rest in a patient with insufficient respiratory reserve. In this narrative review, we summarize the most common indications for VV ECMO and other forms of ECMO support used in critically injured patients, underscore the importance of early ECMO consultation or regional referral, review the technical aspects of ECMO cannulation and management, and examine the expected outcomes for these patients. In addition, we evaluate the data where it exists to try to debunk some common myths surrounding ECMO management.

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Section: Central Nervous System Injuriesmentioning

confidence: 99%

“…Several case series have reported fair outcomes for multiply injured patients with TBI who underwent ECMO without worsening neurologic function. There have even been reports of successful craniotomies while on extracorporeal support 25,26 …”

Section: Mythbustersmentioning

confidence: 99%