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 journalArticle

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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