Abstract
Empyema is a serious and often life-threatening condition. We report the case of a 45-year-old man with severe hypoxia caused by empyema after streptococcal pneumonia, which we successfully treated by surgical drainage assisted by a venovenous extracorporeal membrane oxygenation (ECMO) device. This device provided sufficient oxygenation during the perioperative period and was not associated with excessive bleeding under systemic heparinization. This case report shows the effectiveness of ECMO in allowing surgery and enhancing its benefits in patients with serious hypoxia.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
L Gattinoni A Pesenti D Mascheroni R Marcolin R Fumagalli F Rossi et al. (1986) ArticleTitleLow-frequency positive-pressure ventilation with extracorporeal CO2 removal in severe acute respiratory failure JAMA 256 881–6 Occurrence Handle3090285 Occurrence Handle10.1001/jama.256.7.881 Occurrence Handle1:STN:280:BimB1c3gslw%3D
S Kolla SS Awad PB Rich RJ Schrciner RB Hirschl RH Rartlet (1997) ArticleTitleExtracoporeal life support for 100 adult patients with severe respiratory failure Ann Surg 226 544–66 Occurrence Handle9351722 Occurrence Handle10.1097/00000658-199710000-00015 Occurrence Handle1:STN:280:DyaK1c%2Fht1SrtQ%3D%3D
K Lewandowski (2000) ArticleTitleExtracorporeal membrane oxygenation for severe acute respiratory failure Crit Care 4 156–68 Occurrence Handle11094500 Occurrence Handle10.1186/cc689 Occurrence Handle1:STN:280:DC%2BD3M7jtlSmtw%3D%3D
Y Itoh Y Asai (2004) ArticleTitleCritical care and patient monitoring system extra-corporeal membrane oxygenation, percutaneous cardiopulmonary supports (in Japanese) Clin Eng extra issue 200–5
LK von Segesser (1996) ArticleTitleHeparin-bonded surfaces in extracorporeal membrane oxygenation for cardiac support Ann Thorac Surg 61 330–5 Occurrence Handle8561600 Occurrence Handle1:STN:280:BymC2cnjs1c%3D
W Voelckel V Wenzel M Rieger S Padosch W Schobersberger (1997) ArticleTitleTemporary extracorporeal membrane oxygenation in the treatment of acute traumatic lung injury Can J Anaesth 45 1097–102
S Ichiba GJ Peek AW Sosnowski KJ Brennan RK Firmin (2000) ArticleTitleModifying a venovenous extracorporeal membrane oxygenation circuit to reduce recirculation Ann Thorac Surg 69 298–9 Occurrence Handle10654547 Occurrence Handle10.1016/S0003-4975(99)01227-8 Occurrence Handle1:STN:280:DC%2BD3c7hvVOjug%3D%3D
H Ekim R Demirbag (2004) ArticleTitleIntrapericardial streptokinase for purulent pericarditis Surg Today 34 569–72 Occurrence Handle15221548 Occurrence Handle10.1007/s00595-004-2773-x Occurrence Handle1:CAS:528:DC%2BD2cXltVKmuro%3D
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Jotoku, H., Sugimoto, S., Usui, A. et al. Venovenous Extracorporeal Membrane Oxygenation as an Adjunct to Surgery for Empyema: Report of a Case. Surg Today 36, 76–78 (2006). https://doi.org/10.1007/s00595-005-3099-z
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/s00595-005-3099-z