The Use of Intraoperative Peripheral Extracorporeal Membrane Oxygenation in High-Risk Airways Tumor Removal Procedures in Neonates and Children: A Single-Center Case Series.
Journal
ASAIO journal (American Society for Artificial Internal Organs : 1992)
ISSN: 1538-943X
Titre abrégé: ASAIO J
Pays: United States
ID NLM: 9204109
Informations de publication
Date de publication:
01 10 2021
01 10 2021
Historique:
pubmed:
3
2
2021
medline:
26
11
2021
entrez:
2
2
2021
Statut:
ppublish
Résumé
Airway surgery involving trachea or main stem bronchi in neonates and children is challenging. The use of extracorporeal support for such unusual indications is poorly described. Here, we report on three patients receiving peripheral extracorporeal membrane oxygenation (ECMO) to maintain adequate ventilation while improving surgical site exposure. Case 1 is a 9-year-old boy diagnosed with proximal left stem bronchus endoluminal tumor; cases 2 and 3 are a neonate and a young infant diagnosed with a subcarinal bronchogenic cyst. Planned ECMO use consisted in peripheral venoarterial cannulation through jugular and carotid access. There was no bleeding complication during and after surgical care. Hemodynamic and respiratory supports were optimized in all cases. Children were successfully weaned off ECMO immediately after surgery. Planned peripheral ECMO cannulation offers optimal conditions for high-risk airway surgery in neonates and children.
Identifiants
pubmed: 33528164
doi: 10.1097/MAT.0000000000001360
pii: 00002480-202110000-00020
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e176-e181Informations de copyright
Copyright © ASAIO 2021.
Déclaration de conflit d'intérêts
Disclosures: The authors have no conflicts of interest to report.
Références
Shiraishi T, Kawahara K, Shirakusa T, et al.: Primary tracheal fibrosarcoma in a child: A case of tracheal resection under ECMO support. Thorac Cardiovasc Surg 1997.45: 252–254.
Collar RM, Taylor JC, Hogikyan ND, Tutuo N, Ohye RG, Green GE: Awake extracorporeal membrane oxygenation for management of critical distal tracheal obstruction. Otolaryngol Head Neck Surg 2010.142: 618–620.
Kunisaki SM, Fauza DO, Craig N, Jennings RW: Extracorporeal membrane oxygenation as a bridge to definitive tracheal reconstruction in neonates. J Pediatr Surg 2008.43: 800–804.
Montisci A, Maj G, Zangrillo A, Winterton D, Pappalardo F: Management of refractory hypoxemia during venovenous extracorporeal membrane oxygenation for ARDS. ASAIO J 2015.61: 227–236.
Villar J, Slutsky AS: Effects of induced hypothermia in patients with septic adult respiratory distress syndrome. Resuscitation 1993.26: 183–192.
Butler CR, Speggiorin S, Rijnberg FM, et al.: Outcomes of slide tracheoplasty in 101 children: A 17-year single-center experience. J Thorac Cardiovasc Surg 2014.147: 1783–1789.
Monaco F, Belletti A, Bove T, Landoni G, Zangrillo A: Extracorporeal membrane oxygenation: Beyond cardiac surgery and intensive care unit: Unconventional uses and future perspectives. J Cardiothorac Vasc Anesth 2018.32: 1955–1970.
Mohtar S, Hui TWC, Irwin MG: Anesthetic management of thoracoscopic resection of lung lesions in small children. Paediatr Anaesth 2018.28: 1035–1042.
Aigner C, Wisser W, Taghavi S, et al.: Institutional experience with extracorporeal membrane oxygenation in lung transplantation. Eur J Cardiothorac Surg 2007.31: 468–473discussion 473–474
Lang G, Ghanim B, Hötzenecker K, et al.: Extracorporeal membrane oxygenation support for complex tracheo-bronchial procedures†. Eur J Cardiothorac Surg 2015.47: 250–255discussion 256
Hoetzenecker K, Klepetko W, Keshavjee S, Cypel M: Extracorporeal support in airway surgery. J Thorac Dis 2017.9: 2108–2117.
Zaleski KL, Scholl RL, Thiagarajan RR, et al.: Elective extracorporeal membrane oxygenation support for high-risk pediatric cardiac catheterization. J Cardiothorac Vasc Anesth 2019.33: 1932–1938.
Guner YS, Harting MT, Fairbairn K, et al.: Outcomes of infants with congenital diaphragmatic hernia treated with venovenous versus venoarterial extracorporeal membrane oxygenation: A propensity score approach. J Pediatr Surg 2018.53: 2092–2099.
Fallon SC, Shekerdemian LS, Olutoye OO, et al.: Initial experience with single-vessel cannulation for venovenous extracorporeal membrane oxygenation in pediatric respiratory failure. Pediatr Crit Care Med 2013.14: 366–373.
Glenn IC, Abdulhai S, Lally PA, Schlager ACongenital Diaphragmatic Hernia Study Group: Early CDH repair on ECMO: Improved survival but no decrease in ECMO duration (A CDH Study Group Investigation). J Pediatr Surg 2019.54: 2038–2043.