%0 Journal Article
%T Uso de suporte hemodinamico e respirat¨®rio por meio de oxigena£¿£¿o extracorp¨®rea por membrana (ECMO) venoarterial em um paciente politraumatizado
%A Bassi
%A Estev£¿o
%A Azevedo
%A Luciano C¨¦sar Pontes
%A Costa
%A Eduardo Leite Vieira
%A Maciel
%A Alexandre Toledo
%A Vasconcelos
%A Edzangela
%A Ferreira
%A C¨¦sar Biselli
%A Malbouisson
%A Luiz Marcelo S¨¢
%A Park
%A Marcelo
%J Revista Brasileira de Terapia Intensiva
%D 2011
%I Associa??o de Medicina Intensiva Brasileira
%R 10.1590/S0103-507X2011000300017
%X there are few reports in the literature regarding the use of venoarterial extracorporeal membrane oxygenation (ecmo) for double-dysfunction from both heart and lung contusions in polytrauma patients. this article reports a 48-year-old patient admitted after a traffic accident. he rapidly progressed to shock with low cardiac output due to myocardial contusion and refractory hypoxemia due to pulmonary contusion, an unstable chest wall and bilateral pneumothorax. ecmo was an effective rescue procedure in this dramatic situation and was successfully discontinued on the fourth day after the trauma. the patient also developed an extensive brain infarction and eventually died on the seventh day after admission
%K oxygenation
%K shock
%K cardiogenic
%K acute lung injury
%K craniocerebral trauma
%K case reports.
%U http://www.scielo.br/scielo.php?script=sci_abstract&pid=S0103-507X2011000300017&lng=en&nrm=iso&tlng=en