Elective Venovenous Extracorporeal Membrane Oxygenation for Resection of Endotracheal Tumor: A Case Report.

A A Case Rep

From the *Department of Anesthesiology, †Department of Surgery, ‡Department of Internal Medicine, and ∥Perfusion Services, Duke University Medical Center, Durham, North Carolina; §Staten Island University Hospital / Northwell Health, Staten Island, New York; and ¶Vanderbilt University Medical Center, Nashville, Tennessee.

Published: August 2017

AI Article Synopsis

  • - A 37-year-old male with a nearly obstructing airway tumor near the carina underwent a safe tumor resection using venovenous extracorporeal membrane oxygenation (VV-ECMO).
  • - The procedure involved bifemoral cannulation for VV-ECMO under light sedation while keeping the patient breathing on his own.
  • - After successfully removing the tumor via rigid bronchoscopy, the patient was intubated, weaned off ECMO, and monitored during recovery in the postanesthesia care unit.

Article Abstract

We present a case in which we electively used venovenous extracorporeal membrane oxygenation (VV-ECMO) to facilitate safe resection of a nearly obstructing airway tumor near the carina in a 37-year-old male. The patient was brought to the operating room and underwent bifemoral cannulation for VV-ECMO under light sedation while maintaining spontaneous ventilation. After VV-ECMO was initiated, general anesthesia was induced, and the tumor was resected via rigid bronchoscopy. After resection, the patient was intubated, weaned from ECMO, decannulated, awoken, extubated, and taken to the postanesthesia care unit for recovery.

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Source
http://dx.doi.org/10.1213/XAA.0000000000000537DOI Listing

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