Postoperative extracorporeal membrane oxygenation can successfully support patients following upper airway reconstruction.
ECMO
airway
upper airway reconstruction
ventilation
wound healing
Journal
Head & neck
ISSN: 1097-0347
Titre abrégé: Head Neck
Pays: United States
ID NLM: 8902541
Informations de publication
Date de publication:
11 2020
11 2020
Historique:
received:
17
04
2020
accepted:
23
06
2020
pubmed:
9
8
2020
medline:
22
6
2021
entrez:
9
8
2020
Statut:
ppublish
Résumé
Patients requiring intensive upper airway reconstruction are anatomically restricted in terms of the respiratory support they can receive. While intraoperative extracorporeal membrane oxygenation (ECMO) has been effectively utilized, little has been shown regarding the utility of ECMO for long-term support in these patients. We demonstrate how a patient with tongue and hypopharyngeal squamous cell carcinoma that necessitated upper airway reconstruction was supported with veno-venous (VV) ECMO due to postoperative respiratory failure and an inability to maintain a stable airway. By initiating VV ECMO, we were able to decrease positive pressure ventilation and FiO ECMO can effectively support patients with ongoing respiratory requirements following upper airway reconstruction when standard ventilatory techniques are inadequate or not feasible.
Sections du résumé
BACKGROUND
Patients requiring intensive upper airway reconstruction are anatomically restricted in terms of the respiratory support they can receive. While intraoperative extracorporeal membrane oxygenation (ECMO) has been effectively utilized, little has been shown regarding the utility of ECMO for long-term support in these patients.
METHODS
We demonstrate how a patient with tongue and hypopharyngeal squamous cell carcinoma that necessitated upper airway reconstruction was supported with veno-venous (VV) ECMO due to postoperative respiratory failure and an inability to maintain a stable airway.
RESULTS
By initiating VV ECMO, we were able to decrease positive pressure ventilation and FiO
CONCLUSION
ECMO can effectively support patients with ongoing respiratory requirements following upper airway reconstruction when standard ventilatory techniques are inadequate or not feasible.
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
E30-E34Informations de copyright
© 2020 Wiley Periodicals LLC.
Références
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