Extracorporeal Life Support Use in Mixed Distributive-Obstructive Shock Following an Electrical Injury: A Case Report

被引：0

作者：

Blake, Eva ^{[1
]}

Maqsood, Hannan A. ^{[2
,3
]}

Dougherty, Jacob M. ^{[2
,3
,4
]}

Vercruysse, Gary ^{[2
,3
]}

Wang, Stewart C. ^{[2
,3
]}

Hemmila, Mark R. ^{[2
,3
]}

Sangji, Naveen F. ^{[2
,3
]}

机构：

[1] Univ Michigan, Med Sch, Ann Arbor, MI 48109 USA

[2] Univ Michigan, Dept Surg, Ann Arbor, MI 48109 USA

[3] Univ Michigan, Ctr Healthcare Outcomes & Policy, Ann Arbor, MI 48109 USA

[4] Wayne State Sch Med, Detroit, MI 48201 USA

来源：

JOURNAL OF BURN CARE & RESEARCH | 2024年 / 45卷 / 04期

关键词：

electrical shock; ECLS; distributive-obstructive shock; RESPIRATORY-DISTRESS-SYNDROME; MEMBRANE-OXYGENATION; BURN;

D O I：

10.1093/jbcr/irae071

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Electrical burn injuries can be catastrophic, threatening severe disability or mortality. We present a patient who suffered from electrical shock, requiring bilateral above-knee amputations, right trans-radial amputation, renal replacement therapy, and veno-arterial extracorporeal life support (VA ECLS) therapy. While there exist reports of cases that have demonstrated the potential use of ECLS in burn patients with cardiogenic shock or acute respiratory distress syndrome, this is a unique case of VA ECLS use for an electrical injury patient who developed mixed distributive-obstructive shock secondary to pulmonary embolism and sepsis. Given the wide variety of morbidities that can result from electrical burns, VA ECLS is a promising tool for those who require cardiopulmonary support refractory to traditional measures.

引用

页码：1080 / 1084

页数：5