Prolonged heparin-free extracorporeal membrane oxygenation in multiple injured acute respiratory distress syndrome patients with traumatic brain injury.

@article{Muellenbach2012ProlongedHE,
  title={Prolonged heparin-free extracorporeal membrane oxygenation in multiple injured acute respiratory distress syndrome patients with traumatic brain injury.},
  author={Ralf Michael Muellenbach and Markus Kredel and Ekkehard Kunze and Peter R. Kranke and Julian Kuestermann and Alexander Brack and Armin Gorski and Christian Wunder and Norbert Roewer and Thomas Erik Wurmb},
  journal={The journal of trauma and acute care surgery},
  year={2012},
  volume={72 5},
  pages={1444-7}
}
BACKGROUND Extracorporeal membrane oxygenation (ECMO) can be used as an "ultima ratio" strategy in multiple injured patients with severe thoracic trauma. However, systemic anticoagulation during ECMO is recommended and thus traumatic brain injury (TBI) and intracranial bleeding are well-accepted contraindications for ECMO therapy. METHODS This report describes three cases of prolonged heparin-free venovenous ECMO in multiple injured acute respiratory distress syndrome patients with severe TBI… CONTINUE READING

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