Intraoperative Management of Hypoxemia with Anticoagulant-Free Venovenous Extracorporeal Membrane Oxygenation Amid Diagnostic Uncertainty

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dc.contributor.authorTretter, Eric M.en_US
dc.date.accessioned2025-06-18T10:05:33Z
dc.date.available2025-06-18T10:05:33Z
dc.date.issued2025-06
dc.description.abstractClinically relevant fat embolism syndrome (FES) is a potentially fatal intraoperative event, particularly in trauma patients. Rapid diagnosis is challenging in the perioperative setting, but treatment requires swift intervention and multidisciplinary coordination. This case report presents a polytrauma patient undergoing pelvic ring fixation who developed refractory hypoxia secondary to suspected FES. Successful initiation of anticoagulant?free venovenous extracorporeal membrane oxygenation (ECMO) intraoperatively, without definitive diagnosis, resulted in patient survival. Given the paucity of large?scale studies detailing the efficacious use of ECMO for FES in the perioperative setting, this report serves to expand the growing understanding of treatment for this potentially catastrophic event.en_US
dc.identifier.affiliationsDepartment of Anesthesiology and Pain Management, UT Southwestern Medical Center, Dallas, TX, United States; Department of Anesthesiology and Pain Management, Parkland Health and Hospital System, Dallas, TX, United Statesen_US
dc.identifier.citationTretter Eric M..Intraoperative Management of Hypoxemia with Anticoagulant-Free Venovenous Extracorporeal Membrane Oxygenation Amid Diagnostic Uncertainty.Annals of Cardiac Anaesthesia.2025 Jun;28(2):187-189en_US
dc.identifier.issn0971-9784
dc.identifier.issn0974-5181
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/247979
dc.languageenen_US
dc.publisherWolters Kluwer – Medknowen_US
dc.relation.issuenumber2en_US
dc.relation.volume28en_US
dc.source.urihttps://doi.org/10.4103/aca.aca_237_24en_US
dc.subjectExtracorporeal membrane oxygenationen_US
dc.subjectfat embolismen_US
dc.subjecthypoxemiaen_US
dc.subjectpolytraumaen_US
dc.titleIntraoperative Management of Hypoxemia with Anticoagulant-Free Venovenous Extracorporeal Membrane Oxygenation Amid Diagnostic Uncertaintyen_US
dc.typeJournal Articleen_US
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