Extracorporeal Life Support Use in Mixed Distributive-Obstructive Shock Following an Electrical Injury: A Case Report.
Eva BlakeHannan A MaqsoodJacob M DoughertyGary VercruysseStewart C WangMark R HemmilaNaveen F SangjiPublished in: Journal of burn care & research : official publication of the American Burn Association (2024)
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.
Keyphrases
- pulmonary embolism
- acute respiratory distress syndrome
- extracorporeal membrane oxygenation
- case report
- acute kidney injury
- mechanical ventilation
- inferior vena cava
- multiple sclerosis
- intensive care unit
- total knee arthroplasty
- emergency department
- risk factors
- septic shock
- lower limb
- knee osteoarthritis
- risk assessment
- adverse drug