{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T12:50:00Z","timestamp":1787748600714,"version":"build-2784847793"},"reference-count":11,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2023,5,9]],"date-time":"2023-05-09T00:00:00Z","timestamp":1683590400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Perfusion"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Conservative management is usually preferred for iatrogenic tracheal injuries. Venovenous extracorporeal membrane oxygenation (V-V ECMO) is mostly used in acute refractory hypoxemia, airway lesions are an alternative indication.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Report<\/jats:title>\n                    <jats:p>A 51-year-old female was transferred with a large tracheal tear after plastic tracheotomy. Due to a critical ventilation situation with hypercapnia, conservative management was set and V-V ECMO was installed. With optimized tube positioning, minimal ventilation and gas transfer via V-V ECMO, a complete healing of the injury could be achieved.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Fast diagnosis of tracheal injuries is essential; transfer to a specialized centre should be considered. In our case, organ support via ECMO was necessary due to a difficult ventilation situation with persisting hypercapnia. Thus, reduction in ventilation pressures with reduction of possible leakage and healing of the tracheal tear could be achieved.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Management of tracheal tears is complex; in severe cases special therapy concepts such as the use of V-V ECMO may become necessary.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02676591231175983","type":"journal-article","created":{"date-parts":[[2023,5,10]],"date-time":"2023-05-10T09:30:03Z","timestamp":1683711003000},"page":"1256-1258","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Severe tracheal tear \u2013 an alternative extracorporeal membrane oxygenation indication"],"prefix":"10.1177","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7598-5276","authenticated-orcid":false,"given":"Katharina","family":"Buschulte","sequence":"first","affiliation":[{"name":"Department of Pneumology and Critical Care Medicine, Thoraxklinik, University of Heidelberg, Heidelberg, Germany"},{"name":"Translational Lung Research Centre Heidelberg (TLRC), Member of the German Centre for Lung Research (DZL), Heidelberg, Germany"},{"name":"Centre for ARDS and Weaning, Heidelberg University Hospital, Heidelberg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolas","family":"Kahn","sequence":"additional","affiliation":[{"name":"Department of Pneumology and Critical Care Medicine, Thoraxklinik, University of Heidelberg, Heidelberg, Germany"},{"name":"Translational Lung Research Centre Heidelberg (TLRC), Member of the German Centre for Lung Research (DZL), Heidelberg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Werner","family":"Schmidt","sequence":"additional","affiliation":[{"name":"Centre for ARDS and Weaning, Heidelberg University Hospital, Heidelberg, Germany"},{"name":"Department of Anaesthesiology, Thoraxklinik, University of Heidelberg, Heidelberg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lars","family":"Reinhardt","sequence":"additional","affiliation":[{"name":"Centre for ARDS and Weaning, Heidelberg University Hospital, Heidelberg, Germany"},{"name":"Department of Anesthesiology, Heidelberg University Hospital, Heidelberg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,5,9]]},"reference":[{"key":"bibr1-02676591231175983","doi-asserted-by":"publisher","DOI":"10.21037\/med-21-21"},{"key":"bibr2-02676591231175983","doi-asserted-by":"publisher","DOI":"10.1186\/1749-8090-9-117"},{"key":"bibr3-02676591231175983","volume-title":"StatPearls Publishing Stat Pearls","author":"Farley LS","year":"2022"},{"key":"bibr4-02676591231175983","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-7940(02)00037-4"},{"key":"bibr5-02676591231175983","doi-asserted-by":"publisher","DOI":"10.1097\/MAT.0000000000001432"},{"key":"bibr6-02676591231175983","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0000000000003221"},{"key":"bibr7-02676591231175983","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2018.07.018"},{"key":"bibr8-02676591231175983","doi-asserted-by":"publisher","DOI":"10.1016\/j.thorsurg.2013.10.006"},{"key":"bibr9-02676591231175983","doi-asserted-by":"publisher","DOI":"10.1213\/01.ANE.0000140780.14175.5A"},{"key":"bibr10-02676591231175983","doi-asserted-by":"publisher","DOI":"10.1186\/s13019-015-0252-7"},{"key":"bibr11-02676591231175983","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2017.11.036"}],"container-title":["Perfusion"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02676591231175983","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/02676591231175983","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02676591231175983","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T17:33:16Z","timestamp":1777656796000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/02676591231175983"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,9]]},"references-count":11,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2024,9]]}},"alternative-id":["10.1177\/02676591231175983"],"URL":"https:\/\/doi.org\/10.1177\/02676591231175983","relation":{},"ISSN":["0267-6591","1477-111X"],"issn-type":[{"value":"0267-6591","type":"print"},{"value":"1477-111X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,5,9]]}}}