Elective use of veno-venous extracorporeal membrane oxygenation and high-flow nasal oxygen for resection of subtotal malignant distal airway obstruction.

Abstract:

:We describe the use of peripheral veno-venous extracorporeal membrane oxygenation (VV ECMO) and high-flow nasal oxygen as procedural support in a patient undergoing debulking of a malignant tumour of the lower airway. Due to the significant risk of complete airway obstruction upon induction of anaesthesia, ECMO was established while the patient was awake, and was maintained without systemic anticoagulation to minimise the risk of intraoperative bleeding. This case illustrates that ECMO support with high-flow nasal oxygen can be considered as part of the algorithm for airway management during surgery for subtotal lower airway obstruction, as it may be the only viable option for maintaining adequate gas exchange.

journal_name

Anaesth Intensive Care

authors

Fung R,Stellios J,Bannon PG,Ananda A,Forrest P

doi

10.1177/0310057X1704500113

subject

Has Abstract

pub_date

2017-01-01 00:00:00

pages

88-91

issue

1

eissn

0310-057X

issn

1448-0271

pii

20160414

journal_volume

45

pub_type

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