The Use of Extracorporeal Membrane Oxygenation for Acute Respiratory Distress Syndrome in Severe Burns Without Inhalation Injury

Juliet J. Ray, Richard J. Straker, Valerie J. Hart, Jonathan P. Meizoso, Carl I. Schulman, Matthias Loebe, Ali Ghodsizad

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Burn injury results in a severe systemic inflammatory response which is associated with the development of acute respiratory distress syndrome (ARDS), even without associated inhalation injury. Venous-venous extracorporeal membrane oxygenation (VV-ECMO) has been implemented in various cases of ARDS to provide support and allow for protective lung ventilation strategies. We report the case of a 27-year-old man presenting with a 60% total body surface area partial thickness burn who developed refractory ARDS with Murray Score of 3.75. ECMO was initiated on hospital day 9 for a total of 10 days with concurrent lung-protective ventilation. He subsequently recovered and was discharged on hospital day 48. ECMO should be considered as an adjunctive strategy in burn patients without inhalation injury to minimize ventilator-induced lung injury when high levels of support are needed to achieve adequate ventilation in patients with ARDS.

Original languageEnglish (US)
Pages (from-to)640-644
Number of pages5
JournalJournal of Burn Care and Research
Volume39
Issue number4
DOIs
StatePublished - Jun 13 2018

ASJC Scopus subject areas

  • Surgery
  • Emergency Medicine
  • Rehabilitation

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