Related Experiment Video
Updated: Nov 21, 2025

Ex Vivo Porcine Experimental Model for Studying and Teaching Lung Mechanics
Published on: April 19, 2024
A combined management with vv-ECMO and independent lung ventilation for asymmetric chest trauma
Geoffrey Dagod1, Severin Ramin2,3, Laurence Solovei4
1Trauma Intensive and Critical Care Unit, Lapeyronie University Hospital, 371 Avenue du Doyen G. Giraud, 34090, Montpellier, France.
Abstract:
Association of independent lung ventilation (ILV) and veno-venous extracorporeal membrane oxygenation (vv-ECMO) may be life-saving therapy in cases of refractory hypoxemia. We report the case of a trauma patient affected by asymmetric hypoxemic lung contusions and massive air leak managed by association of ILV and vv-ECMO. This combined strategy allowed us first to restore physiologic conditions and later to achieve safe thoracic surgery with reduced resection of pulmonary parenchyma. This case highlights the success of a new damage control strategy in extreme cases of persistent air leak with refractory hypoxemia allowing initial vital rescue and a more conservative treatment.
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