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VOLUME 1 , ISSUE 1 ( January-March, 2023 ) > List of Articles


Venovenous Extracorporeal Membrane Oxygenation Elective Therapy Time to Rethink: A Case Report and Review of Literature

Vinod Kumar Singh, Saurabh Taneja, Sanjeev Mittal, Pranshuta Sabharwal, Brijendra Kumar Rao

Keywords : Acute airway obstruction, Difficult airway, Extracorporeal membrane oxygenation, Tracheostomy

Citation Information : Singh VK, Taneja S, Mittal S, Sabharwal P, Rao BK. Venovenous Extracorporeal Membrane Oxygenation Elective Therapy Time to Rethink: A Case Report and Review of Literature. Indian J ECMO 2023; 1 (1):25-28.

DOI: 10.5005/jaypee-journals-11011-0005

License: CC BY-NC 4.0

Published Online: 13-03-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Acute airway obstruction poses a therapeutic challenge to treating physicians. There can situations where one is unable to secure the airway along with complete airway obstruction. In such conditions, ECMO can be considered as one of method that can protect from hypoxic damage simultaneously by giving time for adequate surgical access to airway. We present a case of complete airway obstruction where time for adequate surgical access was provided by use of VV-ECMO without any hypoxic damage.

  1. Malpas G, Hung O, Gilchrist A, et al. The use of extracorporeal membrane oxygenation in the anticipated difficult airway: A case report and systematic review. Can J Anaesth 2018;65(6):685–697. DOI: 10.1007/s12630-018-1099-x.
  2. Onozawa H, Tanaka T, Takinami M, et al. Anesthetic management using extracorporeal circulation of a patient with severe tracheal stenosis by thyroid cancer (Article in Japanese). Masui 1999;48(6):658–661. PMID: 10402824.
  3. Peek GJ, Mugford M, Tiruvoipati R, et al. Efficacy and economic assessment of conventional ventilatory support versus extracorporeal membrane oxygenation for severe adult respiratory failure (CESAR): A multicentre randomized controlled trial. Lancet 2009;374(9698):1351–1363. DOI: 10.1016/S0140-6736(09)61069-2.
  4. Tan BK. Extracorporeal membrane oxygenation in cardiac arrest. Singapore Med J 2017;58(7):446–448. DOI: 10.11622/smedj.2017058.
  5. Higashi K, Takeshita J, Terasaki H et al. A case of acute airway obstruction with sharp sawdust particles, successfully treated by extracorporeal lung assist. (Article in Japanese). Kokyu To Junkan 1989;37(3):329–333. PMID: 2734510.
  6. Hong Y, Jo KW, Lyu J, et al. Use of venovenous extracorporeal membrane oxygenation in central airway obstruction to facilitate interventions leading to definitive airway security. J Crit Care 2013;28(5): 669–674. DOI: 10.1016/j.jcrc.2013.05.020.
  7. Rosa P Jr, Johnson EA, Barcia PJ. The impossible airway: a plan. Chest 1996;109(6):1649–1650. DOI: 10.1378/chest.109.6.1649.
  8. Shiraishi M, Mizumura K, Hanzawa K, et al. Fibrosarcoma in a child: A case of tracheal resection under ECMO support. Thorac Cardiovasc Surg 1997;45(5):252–254. DOI: 10.1055/s-2007-1013740.
  9. Bond SJ, Stewart DL, Nagaraj HS, et al. Complicated cannula insertions and cannula dislodgments associated with extracorporeal membrane oxygenation. ASAIO J 1998;44(3):175–178. DOI: 10.1097/00002480-199805000-00010.
  10. Belmont MJ, Wax MK, DeSouza FN. The difficult airway: Cardiopulmonary bypass – the ultimate solution. Head Neck 1998;20(3):266–269. DOI: 10.1002/(sici)1097-0347(199805)20:3<266::aid-hed12>;2-i.
  11. Chao VT, Lim DW, Tao M, et al. Tracheobronchial obstruction as a result of mediastinal mass. Asian Cardiovasc Thorac Ann 2006;14(2):e17–e18. DOI: 10.1177/021849230601400224.
  12. Tian F, Li W, Liang X, et al. Application of extracorporeal membrane oxygenation (ECMO) in tracheal tumor resection. Int J Clin Exp Med 2017;10(4):7244–7249.
  13. Jeong Y II, Jun IG, Ha SS, et al. Extracorporeal membrane oxygenation for the anesthetic management of a patient with a massive intrathoracic goiter causing severe tracheal obstruction with positional symptoms. Medicine 2019;98(42):e17650. DOI: 10.1097/MD.0000000000017650.
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