Approaching a non-surgical difficult airway without approaching the airway: A case report

被引：1

作者：

Fernandes, Diana Martins ^{[1
]}

Marques, Marta ^{[2
]}

Pereira, Helder ^{[2
,3
,4
]}

机构：

[1] Ctr Hosp Univ Sao Joao, Intens Med Dept, Porto, Portugal

[2] Ctr Hosp Univ Sao Joao, Anesthesiol Dept, Porto, Portugal

[3] Univ Porto, Fac Med, Dept Surg & Physiol, Porto, Portugal

[4] Univ Porto, Fac Med, Dept Surg & Physiol, Alameda Prof Hernani Monteiro, P-4200319 Porto, Portugal

来源：

TRENDS IN ANAESTHESIA AND CRITICAL CARE | 2024年 / 54卷

关键词：

Difficult airway; Extracorporeal membrane oxygenation; EXTRACORPOREAL MEMBRANE-OXYGENATION; MANAGEMENT;

D O I：

10.1016/j.tacc.2023.101325

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Airway obstruction by cervical or chest tumours yields high mortality and poses a significant challenge in airway management. Veno-venous extracorporeal membrane oxygenation (VV-ECMO) has played a role as a bridging strategy for patients with a surgical indication. This case report presents a difficult airway caused by a thyroid lymphoma, managed successfully with VV-ECMO and cytoreductive treatment, where surgery was not warranted. The report focusses on the pivotal role of VV-ECMO in providing respiratory support beyond surgical scenarios, adding a new dimension to airway management, allowing the multidisciplinary team valuable time to outline and establish a definitive airway.

引用

页数：3

共 16 条

[1] The Role of Extracorporeal Membrane Oxygenation in the Management of the Difficult Airway
Abdelmalak, Basem B.
[J]. JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA, 2023, 37 (12) : 2660 - 2661
[2] 2022 American Society of Anesthesiologists Practice Guidelines for Management of the Difficult Airway*
Apfelbaum, Jeffrey L.
Hagberg, Carin A.
Connis, Richard T.
Abdelmalak, Basem B.
Agarkar, Madhulika
Dutton, Richard P.
Fiadjoe, John E.
Greif, Robert
Klock, P. Allan, Jr.
Mercier, David
Myatra, Sheila N.
O'Sullivan, Ellen P.
Rosenblatt, William H.
Sorbello, Massimiliano
Tung, Avery
[J]. ANESTHESIOLOGY, 2022, 136 (01) : 31 - 81
[3] Venovenous Extracorporeal Membrane Oxygenation for a Difficult Airway Situation-A Recommendation for Updating the American Society of Anesthesiologists' 'Difficult Airway Algorithm'
Bozer, Jordan
Vess, Andrew
Pineda, Pedro
Essandoh, Michael
Whitson, Bryan A.
Seim, Nolan
Bhandary, Sujatha
Awad, Hamdy
[J]. JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA, 2023, 37 (12) : 2646 - 2656
[4] Preemptive veno-venous ECMO support in a patient with anticipated difficult airway: A case report
Chakalov, I
Harnisch, L. O.
Meyer, A. C.
Moerer, O.
[J]. RESPIRATORY MEDICINE CASE REPORTS, 2020, 30
[5] Invited Commentary: "Venovenous Extracorporeal Membrane Oxygenation for the Difficult Airway-Advocating for a Cautious Approach"
Daubenspeck, Danisa K.
[J]. JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA, 2023, 37 (12) : 2657 - 2659
[6] Successful difficult airway management with emergent venovenous extracorporeal membrane oxygenation in a patient with severe tracheal deformity: a case report
Kakizaki, Ryuichiro
Bunya, Naofumi
Uemura, Shuji
Narimatsu, Eichi
[J]. ACUTE MEDICINE & SURGERY, 2020, 7 (01):
[7] Law JA, 2021, CAN J ANESTH, V68, P1405, DOI 10.1007/s12630-021-02008-z
[8] Successful extracorporeal membrane oxygenation in a patient with central airway obstruction due to an endotracheal mass
Lee, Misoon
Jung, Hyun Chul
Jung, Jaewoong
Chung, Yang-Hoon
Seo, YongHan
Koo, Bon-Sung
Chae, Won Seok
[J]. JOURNAL OF INTERNATIONAL MEDICAL RESEARCH, 2022, 50 (11)
[9] Early extracorporeal membrane oxygenation as bridge for central airway obstruction patients caused by neck and chest tumors to emergency surgery
Liang, LianJing
Su, ShiTong
He, YaRong
Peng, YaLan
Xu, ShuYun
Liu, Yang
Zhou, YaXiong
Yu, HaiFang
[J]. SCIENTIFIC REPORTS, 2023, 13 (01)
[10] Malpas G, 2018, CAN J ANESTH, V65, P685, DOI 10.1007/s12630-018-1099-x

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