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Master Thesis

ECMO veino veineuse et contusions pulmonaires

Abstract : Background : Pulmonary contusions in thoracic trauma patients can lead to acute respiratory distress syndrome (ARDS) requiring the use of respiratory support such as vein veinous extracorporeal membrane oxygenation (ECMO VV). The objective of this work is to make a descriptive analysis of patients assisted by ECMO VV for traumatic respiratory failure and to compare their survival compared to non-trauma patients. Method : This is a retrospective study including all the patients hospitalized in multipurpose intensive care at the Félix Guyon CHU in Reunion Island over the period 2011-2018 who benefited from a VV ECMO following a thoracic trauma complicated by ARDS. Results : During the inclusion period, 124 VV ECMOs were implanted, including 9 VV ECMOs for ARDS following thoracic trauma. In the group of trauma patients: the initial traumas were road accidents in 55.6% of cases, weaning was carried out in 88% of patients, the median age was 45 years (19-55), the simplified severity index 2 was not significantly different (42 vs 48 p = 0.96), the in-hospital mortality was significantly lower (11.1% vs 48.7% p = 0.037), the incidence of bleeding complications were not significantly less (11.1% vs 46.1% p = 0.07) and the incidence of pneumonia was significantly higher (88.9% vs 29.8% p = 0.001). Conclusion : ECMO VV is an effective respiratory support device in patients with ARDS following severe chest trauma and is associated with few bleeding complications.
Document type :
Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03401156
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Submitted on : Monday, October 25, 2021 - 11:58:15 AM
Last modification on : Wednesday, November 3, 2021 - 3:59:36 AM

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  • HAL Id : dumas-03401156, version 1

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Fares Djemili. ECMO veino veineuse et contusions pulmonaires. Sciences du Vivant [q-bio]. 2020. ⟨dumas-03401156⟩

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