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Intraoperative Venovenous Extracorporeal Membrane Oxygenation as Rescue for a Patient With an Inhalational Burn and Iatrogenic Upper Airway Injury: A Case Report

Davis, Corinne A., MD*; Paladino, Alexander D., MD*; Lassiter, William B., MD*; Sharma, Arun, MD; Brady, Kevin M., MD*

doi: 10.1213/XAA.0000000000000747
Case Reports

Venovenous extracorporeal membrane oxygenation (VV-ECMO) is a well-established alternative oxygenation method for critically ill patients. A 58-year-old male was transferred to our level 1 trauma and burn center after sustaining an inhalational injury from a carburetor explosion, with subsequent iatrogenic tracheal injury and emergent cricothyrotomy before arrival. During attempted surgical airway stabilization, our ability to ventilate and oxygenate was compromised. Intraoperative VV-ECMO enabled rescue from severe hypoxemia and subsequent recovery without lasting neurologic sequelae. This case highlights the utility of VV-ECMO for acute intraoperative rescue.

From the *Department of Anesthesia and Operative Services

Department of Surgery, Division of Trauma and Critical Care, San Antonio Uniformed Services Health Education Consortium, Brooke Army Medical Center, San Antonio, Texas.

Accepted for publication December 20, 2017.

Funding: None.

The authors declare no conflicts of interest.

The view(s) expressed herein are those of the author(s) and do not reflect the official policy or position of Brooke Army Medical Center, the US Army Medical Department, the US Army Office of the Surgeon General, the Department of the Air Force, the Department of the Army, or the Department of Defense or the US Government.

Address correspondence to Corinne A. Davis, MD, Department of Anesthesia and Operative Services, Brooke Army Medical Center, 3551 Roger Brooke Dr, Ft Sam Houston, San Antonio, TX 78234. Address e-mail to;

© 2018 International Anesthesia Research Society
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