Extracorporeal Membrane Oxygenation as a Bridge to Definitive Airway Security in 3 Severe Acute Extrinsic Airway Compression Patients: A Case Report.
10.4266/kjccm.2011.26.1.29
- Author:
Jiwon LYU
1
;
Jin Won HUH
;
Chae Man LIM
;
Youn Suck KOH
;
Sang Bum HONG
Author Information
1. Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. sbhong@amc.seoul.kr
- Publication Type:Case Report
- Keywords:
acute;
airway obstruction;
extracorporeal membrane oxygenation
- MeSH:
Airway Obstruction;
Extracorporeal Membrane Oxygenation;
Female;
Humans;
Lung Neoplasms;
Lymphatic Diseases;
Neck;
Pregnant Women;
Respiratory Insufficiency;
Stents;
Thyroid Neoplasms
- From:The Korean Journal of Critical Care Medicine
2011;26(1):29-33
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Extracorporeal membrane oxygenation (ECMO) has been used for cardiac and respiratory failure for over 30 years. Recently, however, ECMO has emerged as a useful means of short-term support in the management of hypoxic patients for nontraditional indications. Here, we report the use of veno-venous ECMO as a bridge to support a patient with severe airway obstruction because of tumor compression. Case 1: A patient with extrinsic airway compression secondary to a large metastatic cancer on neck was successfully managed using ECMO. Case 2: The successful use of ECMO to support a patient with extrinsic airway compression secondary to a recurred thyroid cancer. Case 3: A pregnant woman with airway obstruction secondary to metastatic lymphadenopathy of lung cancer who underwent successful tracheal stent insertion. The 3 patients were successfully weaned off ECMO without any complication. Although these conditions are uncommon indications, ECMO is a potential option for such life-threatening conditions.
