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ECMO Safety in the Setting of Traumatic Brain Injury

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Difficult Decisions in Trauma Surgery

Part of the book series: Difficult Decisions in Surgery: An Evidence-Based Approach ((DDSURGERY))

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Abstract

The management of patients with concomitant acute respiratory distress syndrome (ARDS) and Traumatic Brain Injury (TBI) can often times be complicated by competing interests of the two disease processes. The use of venovenous extracorporeal membrane oxygenation (VV ECMO) is increasingly becoming a viable option for patients with TBI and respiratory failure who have failed management with traditional ventilatory support. In an analysis of the available literature, we have found VV ECMO to be safe and effective in select patients with TBI. The decision to use VV ECMO should be based primarily on whether the patient has failed traditional maximal conventional therapy with the additional consideration of certain ventilatory strategy restrictions imposed by the presence of TBI.

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Author information

Authors and Affiliations

  1. Department of Surgery, University of Miami School of Medicine, Miami, FL, USA

    Brandon Masi Parker

  2. Department of Surgery, University of Maryland School of Medicine, Baltimore, MD, USA

    Jay Menaker

  3. Department of Surgery, Zuckerberg San Francisco General Hospital and Trauma Center, University of California San Francisco, San Francisco, CA, USA

    Deborah M. Stein

Authors
  1. Brandon Masi Parker
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  2. Jay Menaker
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  3. Deborah M. Stein
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Corresponding author

Correspondence to Deborah M. Stein .

Editor information

Editors and Affiliations

  1. Department of Surgery, University of Chicago, Chicago, IL, USA

    Kenneth Wilson

  2. Department of Surgery, University of Chicago, Chicago, IL, USA

    Selwyn O. Rogers

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Parker, B.M., Menaker, J., Stein, D.M. (2022). ECMO Safety in the Setting of Traumatic Brain Injury. In: Wilson, K., Rogers, S.O. (eds) Difficult Decisions in Trauma Surgery. Difficult Decisions in Surgery: An Evidence-Based Approach. Springer, Cham. https://doi.org/10.1007/978-3-030-81667-4_16

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  • DOI: https://doi.org/10.1007/978-3-030-81667-4_16

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-81666-7

  • Online ISBN: 978-3-030-81667-4

  • eBook Packages: MedicineMedicine (R0)

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