Use of Venovenous Extracorporeal Membrane Oxygenation Under Regional Anesthesia for a High-Risk Rigid Bronchoscopy
| Autor: | Yves Louagie, Luc Delaunois, Maximilien Gourdin, André Gruslin, Christophe Dransart, Philippe Dubois |
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| Rok vydání: | 2012 |
| Předmět: |
Adult
Male medicine.medical_specialty Resuscitation Partial Pressure medicine.medical_treatment Case Reports Anesthesia General Extracorporeal Membrane Oxygenation Bronchoscopy Journal Article medicine Extracorporeal membrane oxygenation Humans Anesthesia Local anesthesia General Tomography Device Removal medicine.diagnostic_test business.industry Stent Oxygenation Carbon Dioxide X-Ray Computed Prosthesis Failure Surgery Oxygen Trachea surgical procedures operative Anesthesiology and Pain Medicine Local Stents Airway management Tomography X-Ray Computed Cardiology and Cardiovascular Medicine business Airway Anesthesia Local |
| Zdroj: | Journal of Cardiothoracic and Vascular Anesthesia. 26:465-467 |
| ISSN: | 1053-0770 |
| DOI: | 10.1053/j.jvca.2011.02.013 |
| Popis: | t b p p o w THERE ARE NUMEROUS indications for stent placement in the central respiratory tract.1 The mobilization or reoval of such stents using a rigid bronchoscope may expose atients to potentially severe respiratory complications. Reently, Chen2 reported the use of venoarterial extracorporeal membrane oxygenation (ECMO) during withdrawal of a stent covering the lower part of the trachea and the proximal part of the left mainstem bronchus. The first attempt resulted in almost complete obstruction of the trachea requiring resuscitation maneuvers. After conducting a thorough neurologic assessment of the patient, a 2nd attempt was performed on the following day. In order to ensure adequate oxygenation, the patient was put on venoarterial ECMO support under general anesthesia. The use of venovenous (VV) ECMO support set up under local anesthesia before the administration of general anesthesia in order to prevent oxygenation impairment because of the complexity of managing the airway or as a result of surgical intervention is reported. |
| Databáze: | OpenAIRE |
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