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Successful management of adult smoke inhalation with extracorporeal membrane oxygenation.
J Burn Care Rehabil. 2005 Jan-Feb; 26(1):62-6.JB

Abstract

Pulmonary complications remain one of the leading causes of mortality in patients with burns. We report two cases of adult patients with thermal and inhalation injuries who were placed on extracorporeal membrane oxygenation (ECMO) and survived. Patient 1 was a 42-year-old male who suffered 15% TBSA and a severe inhalation injury requiring intubation upon arrival to the emergency department. Patient 2 was a 24-year-old female in a house fire who received 20%TBSA and was noted to be in respiratory distress and intubated on the scene by the paramedic team. Three days after admission, patient 1 developed severe respiratory failure. He decompensated, despite maximum conventional management, and was placed on ECMO. After 300 hours of ECMO, his pulmonary function had improved, and he was decannulated. Patient 2 also developed severe refractory respiratory failure and was placed on ECMO. She was decannulated 288 hours later. Both patients were discharged home shortly afterwards and have managed well. ECMO should be considered when patients are facing a respiratory death from inhalation injury on conventional mechanical ventilation.

Authors+Show Affiliations

Department of General Surgery, Wake Forest University School of Medicine, Medical Center Boulevard, Winston Salem, NC 27157, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

15640737

Citation

Thompson, James T., et al. "Successful Management of Adult Smoke Inhalation With Extracorporeal Membrane Oxygenation." The Journal of Burn Care & Rehabilitation, vol. 26, no. 1, 2005, pp. 62-6.
Thompson JT, Molnar JA, Hines MH, et al. Successful management of adult smoke inhalation with extracorporeal membrane oxygenation. J Burn Care Rehabil. 2005;26(1):62-6.
Thompson, J. T., Molnar, J. A., Hines, M. H., Chang, M. C., & Pranikoff, T. (2005). Successful management of adult smoke inhalation with extracorporeal membrane oxygenation. The Journal of Burn Care & Rehabilitation, 26(1), 62-6.
Thompson JT, et al. Successful Management of Adult Smoke Inhalation With Extracorporeal Membrane Oxygenation. J Burn Care Rehabil. 2005 Jan-Feb;26(1):62-6. PubMed PMID: 15640737.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Successful management of adult smoke inhalation with extracorporeal membrane oxygenation. AU - Thompson,James T, AU - Molnar,Joseph A, AU - Hines,Michael H, AU - Chang,Michael C, AU - Pranikoff,Thomas, PY - 2005/1/11/pubmed PY - 2005/5/25/medline PY - 2005/1/11/entrez SP - 62 EP - 6 JF - The Journal of burn care & rehabilitation JO - J Burn Care Rehabil VL - 26 IS - 1 N2 - Pulmonary complications remain one of the leading causes of mortality in patients with burns. We report two cases of adult patients with thermal and inhalation injuries who were placed on extracorporeal membrane oxygenation (ECMO) and survived. Patient 1 was a 42-year-old male who suffered 15% TBSA and a severe inhalation injury requiring intubation upon arrival to the emergency department. Patient 2 was a 24-year-old female in a house fire who received 20%TBSA and was noted to be in respiratory distress and intubated on the scene by the paramedic team. Three days after admission, patient 1 developed severe respiratory failure. He decompensated, despite maximum conventional management, and was placed on ECMO. After 300 hours of ECMO, his pulmonary function had improved, and he was decannulated. Patient 2 also developed severe refractory respiratory failure and was placed on ECMO. She was decannulated 288 hours later. Both patients were discharged home shortly afterwards and have managed well. ECMO should be considered when patients are facing a respiratory death from inhalation injury on conventional mechanical ventilation. SN - 0273-8481 UR - https://www.unboundmedicine.com/medline/citation/15640737/Successful_management_of_adult_smoke_inhalation_with_extracorporeal_membrane_oxygenation_ L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=linkout&SEARCH=15640737.ui DB - PRIME DP - Unbound Medicine ER -