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The serial connection of two extracorporeal membrane oxygenators for patient with refractory hypoxemia
- Authors
- Kang, Dong Hoon; Kim, Jong Woo; Kim, Sung Hwan; Moon, Seong Ho; Yang, Jun Ho; Jung, Jae Jun; Cha, Ho Jeong; Choi, Jun Young; Lee, Chung Eun; Heo, Won; Lim, Sung Dae; Byun, Joung Hun
- Issue Date
- Nov-2021
- Publisher
- Mosby Inc.
- Keywords
- Acute respiratory distress; Veno-venous extracorporeal membrane oxygenation; Hypoxemia
- Citation
- Heart and Lung: Journal of Acute and Critical Care, v.50, no.6, pp 853 - 856
- Pages
- 4
- Indexed
- SCIE
SCOPUS
- Journal Title
- Heart and Lung: Journal of Acute and Critical Care
- Volume
- 50
- Number
- 6
- Start Page
- 853
- End Page
- 856
- ISSN
- 0147-9563
1527-3288
- Abstract
- A 34-year-old man developed severe hypoxemia and hypercapnia due to acute respiratory distress during ventilator care after surgery with acute intracranial hemorrhage. Severe hypoxemia had not been corrected even with maximum extracorporeal membrane oxygenation (ECMO) flow and full ventilator settings. We applied a novel technique for the serial connection of two veno-venous ECMO circuits for optimal oxygen delivery and CO2 removal and could wean VV ECMO. The use of serial connection of two VV ECMO circuits may be considered worthwhile when severe hypoxemia or hypercapnia are not improved and the use of protective ventilators is not permitted. (C) 2021 Elsevier Inc. All rights reserved.
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