Management of complicated airway foreign body aspiration using extracorporeal membrane oxygenation (ECMO)

Park, Albert H.; Tunkel, David E.; Park, Erica; Barnhart, Douglas C.; Liu, Edward; Lee, Justin; Black, Richard E.

doi:10.1016/j.ijporl.2014.10.021

Cited by 30 publications

(17 citation statements)

References 6 publications

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“…The severity of his respiratory failure would have made bronchoscopy intervention impossible without ECMO support. Similar situations have been reported in the literature where conditions such as foreign body aspiration, plastic bronchitis, and sand aspiration were rescued with ECMO support to permit safe bronchoscopic procedures [ [13] , [14] , [15] ]. Similarly, Kamat et al published a series of 153 bronchoscopies performed safely on 79 children on ECMO support [ 16 ].…”

Section: Discussionmentioning

confidence: 59%

Favorable outcome with early initiation of VV-ECMO for unilateral lung disease in children

Ganatra

Shamim

Farnan

et al. 2019

Respiratory Medicine Case Reports

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Unilateral lung diseases such as unilateral pneumonia, trauma or pulmonary hemorrhage can cause profound hypoxemic respiratory failure necessitating mechanical ventilation. These disorders are characterized by marked asymmetry in lung mechanics, with the affected lung having a lower compliance compared to the healthier lung, and management involves complex strategies such as simultaneous independent lung ventilation. However, such strategies can be challenging in pediatric populations due to technical limitations, and also lead to ventilator induced lung injury. We report two unique cases that support the use of venovenous extracorporeal membrane oxygenation as an alternative strategy for management of unilateral lung disease in children.

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Section: Discussionmentioning

confidence: 59%

Favorable outcome with early initiation of VV-ECMO for unilateral lung disease in children

Ganatra

Shamim

Farnan

et al. 2019

Respiratory Medicine Case Reports

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“…22 V-VECMO has been used to provide respiratory support for excision of tracheal papillomatosis 12 and to facilitate emergent removal of an airway obstructing foreign body in the pediatric population without complications. 23 Abbreviation: ECMO, extracorporeal membrane oxygenation.…”

Section: V-v Ecmo In Patients At Risk Of Airway Obstructionmentioning

confidence: 99%

Extended Indications for Extracorporeal Membrane Oxygenation in the Operating Room

Kelly

Carton

2019

J Intensive Care Med

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Background: The use of extracorporeal life support (ECLS) for cardiorespiratory support is increasing. Traditional absolute contraindications are currently deemed relative contraindications. Extracorporeal life support is now considered for a wider cohort of patients on a case-by-case basis. Method: We performed a review of the literature and examined current Extracorporeal Life Support Organization guidelines that support the use of ECLS in the operating room, based on the underlying pathology and surgical procedure proposed. We discuss specific surgical populations and different modes of ECLS and cannulation strategies. Results: Based on the available literature, veno-venous extracorporeal membrane oxygenation (ECMO) can be used for the management of complex tracheobronchial and lung surgery, both in the elective and in the emergent setting. Elective veno-arterial (V-A) ECMO for cardiocirculatory support should be considered in high-risk patients undergoing ventricular tachycardia ablation. Extracorporeal life support should be considered as a potential life-saving intervention in almost all parturients with severe respiratory failure or refractory cardiogenic shock. V-A ECMO should be considered in unanticipated intraoperative cardiac arrest in patients without preexisting end-organ failure. Conclusion: As the number of indications for ECLS in the operating room is growing, anesthesiology and surgical staff should become familiar with the perioperative management of patients on ECLS.

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“…Death as a result of post resection hemoptysis has been reported and was likely exacerbated by anticoagulation for ECMO (15). Relief of airway obstruction in small children has been performed with both VV and VA ECMO (23).…”

Section: Airway Surgerymentioning

confidence: 99%

Principles and indications of extracorporeal life support in general thoracic surgery

McRae¹,

Perrot²

2018

J. Thorac. Dis.

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The role of extracorporeal life support (ECLS) has expanded rapidly over the past 15 years to become an important tool in advanced general thoracic surgery practice. Intra-operative and in some cases continued post-operative ECLS is redefining the scope of complex surgical care. ECLS encompasses a spectrum of temporary mechanical support that may remove CO 2 , oxygenate or provide hemodynamic support or a combination thereof. The most common modalities used in general thoracic surgery include extracorporeal membrane oxygenation (ECMO), interventional lung assist device (iLA ® Novalung ® , Heilbronn, Germany), and extracorporeal CO 2 removal (ECCO 2 R). The ECMO and Novalung ® devices can be used in different modes for the short term or long-term support depending on the situation. In this review, the principles and current applications of ECLS in general thoracic surgery are presented.

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Management of complicated airway foreign body aspiration using extracorporeal membrane oxygenation (ECMO)

Cited by 30 publications

References 6 publications

Favorable outcome with early initiation of VV-ECMO for unilateral lung disease in children

Favorable outcome with early initiation of VV-ECMO for unilateral lung disease in children

Extended Indications for Extracorporeal Membrane Oxygenation in the Operating Room

Principles and indications of extracorporeal life support in general thoracic surgery

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