eprintid: 35614
rev_number: 11
eprint_status: archive
userid: 5878
dir: disk0/00/03/56/14
datestamp: 2024-11-11 15:05:33
lastmod: 2024-11-13 11:27:46
status_changed: 2024-11-11 15:05:33
type: article
metadata_visibility: show
creators_name: Buschulte, Katharina
creators_name: Kahn, Nicolas
creators_name: Schmidt, Werner
creators_name: Reinhardt, Lars
title: Severe tracheal tear – an alternative extracorporeal membrane oxygenation indication
ispublished: pub
subjects: ddc-610
divisions: i-910300
divisions: i-950900
note: Dieser Beitrag ist aufgrund einer (DFG-geförderten) Allianz bzw. Nationallizenz frei zugänglich. *** This publication is freely accessible due to an Alliance licence and a national licence (funded by the DFG, German Research Foundation) respectively.
abstract: 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.
date: 2024
date_type: published
publisher: Sage Publications
id_scheme: DOI
id_number: 10.11588/heidok.00035614
official_url: https://doi.org/10.1177/02676591231175983
ppn_swb: 1908409142
own_urn: urn:nbn:de:bsz:16-heidok-356143
language: eng
bibsort: BUSCHULTEKSEVERETRAC20240909
full_text_status: public
publication: Perfusion
volume: 39
number: 6
place_of_pub: London [u.a.]
pagerange: 1256-1258
pages: 3
issn: 0267-6591 (Druck-Ausg.); 1477-111X (Online-Ausg.)
edition: Zweitveröffentlichung
citation:   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.)     
document_url: https://archiv.ub.uni-heidelberg.de/volltextserver/35614/1/10.1177_02676591231175983.pdf