Journal article
Use of extracorporeal membrane oxygenation support during an emergent decompression of a thoracic epidural abscess
Spine (Philadelphia, Pa. 1976), v 38(16), pp E1048-E1050
15 Jul 2013
PMID: 23609206
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Case report.
To present the first reported case of using extracorporeal membrane oxygenation (ECMO) support in an emergent decompression and evacuation of a thoracic epidural abscess.
Thoracic epidural abscesses with neurological deficits require surgical evaluation and intervention in most cases. We report a case of a 35-year-old patient with an acute onset of paraplegia diagnosed with a thoracic epidural abscess. The patient was emergently taken to the operating room and was unable to tolerate prone positioning secondary to cardiopulmonary collapse. ECMO was initiated for cardiopulmonary support to complete the case.
Retrospective chart review of patient case.
The patient was stabilized with ECMO support and tolerated a T4-T8 laminectomy and decompression. The source of the patients abscess was hematogenous and at 6 months of clinical follow-up, the patient has no motor or sensory function of his bilateral lower extremities.
The use of ECMO support in adult spinal surgery has not been previously reported in the literature. Therefore we describe the first reported use of ECMO to maintain cardiopulmonary support in a patient unable to tolerate prone positioning during spine surgery. ECMO support can be a viable option in adult patients who need emergent spinal surgery but are unable to tolerate prone positioning secondary to cardiopulmonary complications.
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Details
- Title
- Use of extracorporeal membrane oxygenation support during an emergent decompression of a thoracic epidural abscess
- Creators
- Aakash Chauhan - Allegheny General HospitalRobert J Moraca - Allegheny General HospitalDaniel T Altman
- Publication Details
- Spine (Philadelphia, Pa. 1976), v 38(16), pp E1048-E1050
- Publisher
- Lippincott
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Orthopedic/Orthopaedic Surgery
- Web of Science ID
- WOS:000330361500010
- Scopus ID
- 2-s2.0-84880741237
- Other Identifier
- 991021897301604721
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Clinical Neurology
- Orthopedics