title: Severe tracheal tear – an alternative extracorporeal membrane oxygenation indication
creator: Buschulte, Katharina
creator: Kahn, Nicolas
creator: Schmidt, Werner
creator: Reinhardt, Lars
subject: ddc-610
subject: 610 Medical sciences Medicine
description: Introduction   Conservative management is usually preferred for iatrogenic tracheal injuries. Venovenous extracorporeal membrane oxygenation (V-V ECMO) is mostly used in acute refractory hypoxemia, airway lesions are an alternative indication.  Case Report   A 51-year-old female was transferred with a large tracheal tear after plastic tracheotomy. Due to a critical ventilation situation with hypercapnia, conservative management was set and V-V ECMO was installed. With optimized tube positioning, minimal ventilation and gas transfer via V-V ECMO, a complete healing of the injury could be achieved.  Discussion   Fast diagnosis of tracheal injuries is essential; transfer to a specialized centre should be considered. In our case, organ support via ECMO was necessary due to a difficult ventilation situation with persisting hypercapnia. Thus, reduction in ventilation pressures with reduction of possible leakage and healing of the tracheal tear could be achieved.  Conclusion   Management of tracheal tears is complex; in severe cases special therapy concepts such as the use of V-V ECMO may become necessary.
publisher: Sage Publications
date: 2024
type: Article
type: info:eu-repo/semantics/article
type: NonPeerReviewed
format: application/pdf
identifier: https://archiv.ub.uni-heidelberg.de/volltextserver/35614/1/10.1177_02676591231175983.pdf
identifier: DOI:10.11588/heidok.00035614
identifier: https://doi.org/10.1177/02676591231175983
identifier: urn:nbn:de:bsz:16-heidok-356143
identifier:   Buschulte, Katharina ; Kahn, Nicolas ; Schmidt, Werner ; Reinhardt, Lars  (2024) Severe tracheal tear – an alternative extracorporeal membrane oxygenation indication.  Perfusion, 39 (6).  pp. 1256-1258.  ISSN 0267-6591 (Druck-Ausg.); 1477-111X (Online-Ausg.)     
relation: https://archiv.ub.uni-heidelberg.de/volltextserver/35614/
rights: info:eu-repo/semantics/openAccess
rights: http://archiv.ub.uni-heidelberg.de/volltextserver/help/license_urhg.html
language: eng