A Case of Inhalation Burn-Induced Extensive Tracheal Inflammatory Crust Removed by Ventilating Bronchoscopy under Tracheostomy and Extracorporeal Membrane Oxygenation.
10.3342/kjorl-hns.2015.58.12.882
- Author:
Kyoung Ho PARK
1
;
Joong Hyun PARK
;
Anna PARK
;
Young Sam YOO
Author Information
1. Department of Otorhinolaryngology-Head and Neck Surgery, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea. entyoo@empal.com
- Publication Type:Case Report
- Keywords:
Extracorporeal membrane oxygenation;
Inhalation burn;
Tracheostomy;
Ventilating bronchoscopy
- MeSH:
Airway Obstruction;
Anesthesia, General;
Bronchoscopy*;
Burns, Inhalation;
Extracorporeal Membrane Oxygenation*;
Foreign Bodies;
Humans;
Inhalation*;
Lung;
Lung Injury;
Oxygen;
Respiratory Distress Syndrome, Adult;
Tracheostomy*
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2015;58(12):882-885
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Foreign body impaction in airway is life-threatening as it can cause total airway obstruction. Such foreign bodies are removed under bronchoscopy in most patients. In some patients, however, the cardiopulmonary condition becomes unstable to undergo ventilating bronchoscopy under general anesthesia to remove the foreign body. In these conditions, extracorporeal membrane oxygenation (ECMO) can be adopted for cardiopulmonary support to stabilize the patient while removing the foreign body. ECMO supports tissue oxygenation and has been shown to improve survival of patients with adult respiratory distress syndrome. ECMO allows lungs to reserve their functions and decreases further lung injuries. The authors report one case of extensive tracheal inflammatory crust removed by ventilating bronchoscopy under tracheostomy and ECMO.
