Use of Extracorporeal Membrane Oxygenation for Optimal Organ Donation

• Published in: Acute and critical care pp. 194 - 196
• Main Authors: 양정훈, 조양현, 정치량, 전경만, 박치민, 서지영
• Format: Journal Article
• Language: English
• Published: 대한중환자의학회 01.08.2014
• Subjects: 마취과학
• ISSN: 2586-6052; 2586-6060

We report a case of extracorporeal membrane oxygenation (ECMO) support for donor organ preservation in a brain-dead patient following out-of-hospital cardiac arrest. A 43-year-old male patient was referred to the emergency department after an out-of-hospital cardiac arrest caused by ventricular fibrillation. Spontaneous circulation was restored after 8 minutes of cardiopulmonary resuscitation. ECMO was implemented because of hemodynamic deterioration. The patient then underwent coronary angiography and was implanted with a drug-eluting stent because of occlusion at the proximal portion of the right coronary artery. After 144 hours, brain death was established, and ECMO support for optimal oxygen delivery was sustained until organ retrieval after consent for donation was received from the family. Liver and kidneys were successfully transplanted to three recipients, respectively. KCI Citation Count: 2