Samuel E Austin, Samuel M Galvagno, Jamie E Podell, William A Teeter, Rishi Kundi, Daniel J Haase, Bradley S Taylor, Richard Betzold, Deborah M Stein, Thomas M Scalea, Elizabeth K Powell
BACKGROUND: Veno-venous extracorporeal membrane oxygenation (VV ECMO) can support trauma patients with severe respiratory failure. Use in traumatic brain injury (TBI) may raise concerns of worsening complications from intracranial bleeding. However, VV ECMO can rapidly correct hypoxemia and hypercarbia, possibly preventing secondary brain injury. We hypothesize that adult trauma patients with TBI on VV ECMO have comparable survival to trauma patients without TBI. METHODS: Single center, retrospective cohort study involving review of electronic medical records of trauma admissions between July 1, 2014 to August 30, 2022 with discharge diagnosis of TBI who were placed on VV ECMO during their hospital course...
October 13, 2023: Journal of Trauma and Acute Care Surgery