ECMO support for endoscopic resection of postpneumonectomy critical central airway obstruction
Abstract A 73‐year‐old woman was admitted to our hospital with severe respiratory distress due to postpneumonectomy neoplastic central airway obstruction. An emergency recanalization with rigid bronchoscopy (RB) was planned. Controlled and jet ventilation are routinely used to assure ventilation dur...
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| Format: | Article |
| Language: | English |
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Wiley
2024-12-01
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| Series: | Thoracic Cancer |
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| Online Access: | https://doi.org/10.1111/1759-7714.15456 |
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| author | Alfonso Fiorelli Marisa De Feo Michele Torella Fausto Ferraro Andrea Bianco Giuseppe Vicario Francesca Capasso Gaetana Messina Giovanni Natale |
| author_facet | Alfonso Fiorelli Marisa De Feo Michele Torella Fausto Ferraro Andrea Bianco Giuseppe Vicario Francesca Capasso Gaetana Messina Giovanni Natale |
| author_sort | Alfonso Fiorelli |
| collection | DOAJ |
| description | Abstract A 73‐year‐old woman was admitted to our hospital with severe respiratory distress due to postpneumonectomy neoplastic central airway obstruction. An emergency recanalization with rigid bronchoscopy (RB) was planned. Controlled and jet ventilation are routinely used to assure ventilation during RB, but the risk of inadequate oxygenation and removal of carbon dioxide was prohibitively high in this case due to the presence of a single lung. The use of venovenous extracorporeal membrane oxygenation was decided by multidisciplinary team to support ventilation during RB. Complete airway recanalization was successfully achieved without any complications. The patient was discharged 2 days later. Pathology revealed metastatic adenocarcinoma, and the patient was reviewed for oncologic treatment. |
| format | Article |
| id | doaj-art-7e178ffc95384b888daaee015c4e1242 |
| institution | OA Journals |
| issn | 1759-7706 1759-7714 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wiley |
| record_format | Article |
| series | Thoracic Cancer |
| spelling | doaj-art-7e178ffc95384b888daaee015c4e12422025-08-20T02:35:40ZengWileyThoracic Cancer1759-77061759-77142024-12-0115352514251610.1111/1759-7714.15456ECMO support for endoscopic resection of postpneumonectomy critical central airway obstructionAlfonso Fiorelli0Marisa De Feo1Michele Torella2Fausto Ferraro3Andrea Bianco4Giuseppe Vicario5Francesca Capasso6Gaetana Messina7Giovanni Natale8Thoracic Surgery Unit, Department of Translational Medicine University of Campania Luigi Vanvitelli Naples ItalyCardiothoracic Unit, Department of Translational Medicine University of Campania Luigi Vanvitelli Naples ItalyCardiothoracic Unit, Department of Translational Medicine University of Campania Luigi Vanvitelli Naples ItalyAnesthesiology and Intensive Care Unit, Department of Translational Medicine University of Campania Luigi Vanvitelli Naples ItalyPneumology Unit, Department of Translational Medicine University of Campania Luigi Vanvitelli Naples ItalyThoracic Surgery Unit, Department of Translational Medicine University of Campania Luigi Vanvitelli Naples ItalyThoracic Surgery Unit, Department of Translational Medicine University of Campania Luigi Vanvitelli Naples ItalyThoracic Surgery Unit, Department of Translational Medicine University of Campania Luigi Vanvitelli Naples ItalyThoracic Surgery Unit, Department of Translational Medicine University of Campania Luigi Vanvitelli Naples ItalyAbstract A 73‐year‐old woman was admitted to our hospital with severe respiratory distress due to postpneumonectomy neoplastic central airway obstruction. An emergency recanalization with rigid bronchoscopy (RB) was planned. Controlled and jet ventilation are routinely used to assure ventilation during RB, but the risk of inadequate oxygenation and removal of carbon dioxide was prohibitively high in this case due to the presence of a single lung. The use of venovenous extracorporeal membrane oxygenation was decided by multidisciplinary team to support ventilation during RB. Complete airway recanalization was successfully achieved without any complications. The patient was discharged 2 days later. Pathology revealed metastatic adenocarcinoma, and the patient was reviewed for oncologic treatment.https://doi.org/10.1111/1759-7714.15456ECMOlung cancerrigid bronchoscopy |
| spellingShingle | Alfonso Fiorelli Marisa De Feo Michele Torella Fausto Ferraro Andrea Bianco Giuseppe Vicario Francesca Capasso Gaetana Messina Giovanni Natale ECMO support for endoscopic resection of postpneumonectomy critical central airway obstruction Thoracic Cancer ECMO lung cancer rigid bronchoscopy |
| title | ECMO support for endoscopic resection of postpneumonectomy critical central airway obstruction |
| title_full | ECMO support for endoscopic resection of postpneumonectomy critical central airway obstruction |
| title_fullStr | ECMO support for endoscopic resection of postpneumonectomy critical central airway obstruction |
| title_full_unstemmed | ECMO support for endoscopic resection of postpneumonectomy critical central airway obstruction |
| title_short | ECMO support for endoscopic resection of postpneumonectomy critical central airway obstruction |
| title_sort | ecmo support for endoscopic resection of postpneumonectomy critical central airway obstruction |
| topic | ECMO lung cancer rigid bronchoscopy |
| url | https://doi.org/10.1111/1759-7714.15456 |
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