A case of severe air leak syndrome with ECMO introduced by surgical cannulation without bleeding complications

DOI
  • Oguri Ayako
    Advanced Critical Care and Emergency Center, Yokohama City University Medical Center
  • Takeda Tomoaki
    Advanced Critical Care and Emergency Center, Yokohama City University Medical Center
  • Taniguchi Hayato
    Advanced Critical Care and Emergency Center, Yokohama City University Medical Center
  • Honzawa Hiroshi
    Department of Emergency Medicine, Yokohama City University Hospital
  • Ohta Soichi
    Advanced Critical Care and Emergency Center, Yokohama City University Medical Center
  • Takeuchi Ichiro
    Advanced Critical Care and Emergency Center, Yokohama City University Medical Center

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  • 重症エアリーク症候群に対するVV-ECMO導入においてカットダウン法を選択した1例

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<p>Bleeding complications during extracorporeal membrane oxygenation (ECMO) management are significantly associated with increased mortality and cannulation site bleeding is the most common. It is important to choose cannulation approach avoiding the risk of bleeding. We report a case of severe air-leak syndrome successfully supported by VV-ECMO without bleeding complications by choosing surgical cannulation. Percutaneous approach is generally the first-line choice, however, in cases of massive subcutaneous emphysema to the extent that the vessels cannot be observed by ultrasound, or cases with mediastinal emphysema around the vessels, surgical cannulation should be considered.</p>

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