Management of refractory hypoxemia during elective extracorporeal support for complex tracheal resection

2Citations
Citations of this article
5Readers
Mendeley users who have this article in their library.
Get full text

Abstract

Venovenous extracorporeal membrane oxygenation (VV-ECMO) is increasingly used in managing challenging airway and thoracic cases with complex airway manipulations. We present a case of a complex tracheal resection needing prolonged apnea times for which VV-ECMO was electively planned. Intraoperatively, the team was faced with continued oxygen desaturations during periods of apnea. With an algorithmic approach to troubleshooting hypoxemia, several factors were taken into consideration. Apneic oxygenation was applied to the open tracheal segment. Despite an open airway, the applied apneic oxygenation facilitated oxygenation to the portion of the cardiac output that was being shunted through the lungs as opposed to the VV-ECMO circuit, enabling uninterrupted completion of the surgical resection and reanastomosis.

References Powered by Scopus

High-frequency oscillatory ventilation: Mechanisms of gas exchange and lung mechanics

168Citations
N/AReaders
Get full text

Resection of locally advanced (T4) non-small cell lung cancer with cardiopulmonary bypass

84Citations
N/AReaders
Get full text

Pulsatile gas flow in bronchi caused by the heart beat

60Citations
N/AReaders
Get full text

Cited by Powered by Scopus

Venovenous Extracorporeal Membrane Oxygenation for a Difficult Airway Situation—A Recommendation for Updating the American Society of Anesthesiologists' ‘Difficult Airway Algorithm’

4Citations
N/AReaders
Get full text

Current use of extracorporeal life support in airway surgery: a narrative review

3Citations
N/AReaders
Get full text

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Cite

CITATION STYLE

APA

Venkataramani, R., Lewis, A. E., Perez-Munoz, I., & Gerstein, N. S. (2022). Management of refractory hypoxemia during elective extracorporeal support for complex tracheal resection. Saudi Journal of Anaesthesia, 16(1), 120–123. https://doi.org/10.4103/sja.sja_265_21

Readers over time

‘22‘2301234

Readers' Seniority

Tooltip

PhD / Post grad / Masters / Doc 2

67%

Researcher 1

33%

Readers' Discipline

Tooltip

Medicine and Dentistry 4

100%

Save time finding and organizing research with Mendeley

Sign up for free
0