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Pulmonary Medicine
Volume 2011, Article ID 936240, 3 pages
http://dx.doi.org/10.1155/2011/936240
Clinical Study

Successful Use of Extracorporeal Life Support after Double Traumatic Tracheobronchial Injury in a Patient with Severe Acute Asthma

1Department of Anesthesia and Intensive Care, Centre Hospitalier Régional et Université de Caen Basse Normandie, Avenue Cote de Nacre, 14033 CAEN Cedex, France
2Department of Thoracic and Cardiovascular Surgery, Centre Hospitalier Régional et Université de Caen Basse Normandie, Avenue Cote de Nacre, 14033 CAEN Cedex, France

Received 11 March 2011; Revised 30 July 2011; Accepted 20 September 2011

Academic Editor: Akio Niimi

Copyright © 2011 Xavier Valette et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We report the case of an asthmatic patient with blunt trachea and left main bronchus injuries who developed acute severe asthma after surgical repair. Despite medical treatment and ventilatory support, asthma persisted with high airway pressures and severe respiratory acidosis. We proposed venovenous extracorporeal life support for CO2 removal which allowed arterial blood gas normalization and airway pressures decrease. Extracorporeal life support was removed on day five after medical treatment of acute severe asthma. So we report the successful use of extracorporeal life support for operated double blunt tracheobronchial injury with acute severe asthma.