Veno-venous ECMO intervention for respiratory failure after trauma from a motor vehicle collision

BMJ Case Rep. 2025 Jan 21;18(1):e262986. doi: 10.1136/bcr-2024-262986.

Abstract

Extracorporeal membrane oxygenation (ECMO) has emerged as a salvage therapy in refractory respiratory failure. Within the literature, there is evidence to support the use of ECMO in severe thoracic trauma; however, there is minimal information on its applicability in mild to moderate thoracic trauma. This report describes a man in his 50s who suffered thoracic trauma following a motor vehicle accident, who, despite maximal medical therapy, experienced deterioration in respiratory function, requiring the commencement of veno-venous ECMO on day 5 post injury and subsequently achieved excellent functional recovery.

Keywords: Adult intensive care; General surgery; Surgery; Trauma.

Publication types

  • Case Reports

MeSH terms

  • Accidents, Traffic*
  • Extracorporeal Membrane Oxygenation* / methods
  • Humans
  • Male
  • Middle Aged
  • Respiratory Insufficiency* / etiology
  • Respiratory Insufficiency* / therapy
  • Thoracic Injuries / complications
  • Thoracic Injuries / therapy