Case Report

Application of Hybrid Extracorporeal Membrane Oxygenation for the Treatment of Subsequent Shock following Acute Respiratory Distress Syndrome Developing after Firearm Injury

Table 1

Clinical parameters of the patient.

After the intubationBefore the V-V ECMOBefore the V-A-V ECMODisconnection from V-A-V ECMO

Ventilation parameters
TV (ml/kg)6–8666–8
PEEP (cmH2O)512–148–106
PIP (cmH2O)22383226
FiO20.4–0.610.40.4

Inotropes (mcg/kg/min)
Adrenaline0.050.10.100.05
Noradrenaline0.050.050.200.1
Milrinone0.5
Dobutamine5

Blood gas analysis
pHN7.247.26–7.40N
PaCO2 (mmHg)N86N
PaO2 (mmHg)8653
Lactate (mmol/L)1.8–2.73.6–5.216–20N

Urinary output (ml/kg/h)1–30.3–10.2–12-3

Prone position and recruitment maneuversNoYesNoNo

ECMO: extracorporeal membrane oxygenation, V-V: veno-venous, V-A-V: veno-arterio-venous, TV: tidal volume, PEEP: positive end-expiratory pressure, PIP: peak inspirium pressure, FiO2: fractional inspired oxygen, PaO2: partial oxygen pressure, PaCO2: partial carbon dioxide pressure, and N: normal.