Heparin-free veno-venous ECMO applied to a patient with severe lung contusion and hypovolemic shock due to trauma.Veno-venous extracorporeal membrane oxygenation (VV-ECMO) plays a crucial role when the lung is extensively damaged and when conventional management has failed.  ECMO provides adequate tissue oxygenation and an opportunity for lung recovery.  However, ECMO remains contraindicated in patients with a risk of bleeding because of systemic anticoagulation during the treatment.  Heparin-free VV-ECMO was applied peripherally via both femoral veins.  Under the ECMO support, right lower lobectomy was successfully performed.  Although contraindicated in polytraumatic patients with hemorrhagic shock, surgical repair with the application of ECMO may be feasible if bleeding is well controlled. 
ECMO
Heparin-free veno-venous ECMO applied to a patient with severe lung contusion and hypovolemic shock due to trauma.Veno-venous extracorporeal membrane oxygenation (VV-ECMO) plays a crucial role when the lung is extensively damaged and when conventional management has failed.  Heparin-free VV-ECMO was applied peripherally via both femoral veins. 
VV-ECMO
Heparin-free veno-venous ECMO applied to a patient with severe lung contusion and hypovolemic shock due to trauma.Veno-venous extracorporeal membrane oxygenation (VV-ECMO) plays a crucial role when the lung is extensively damaged and when conventional management has failed.  ECMO provides adequate tissue oxygenation and an opportunity for lung recovery.  However, ECMO remains contraindicated in patients with a risk of bleeding because of systemic anticoagulation during the treatment.  Heparin-free VV-ECMO was applied peripherally via both femoral veins.  Under the ECMO support, right lower lobectomy was successfully performed.  Although contraindicated in polytraumatic patients with hemorrhagic shock, surgical repair with the application of ECMO may be feasible if bleeding is well controlled. 
ECMO