Chinese Medical Sciences Journal ›› 2013, Vol. 28 ›› Issue (1): 55-57.doi: 10.1016/S1001-9294(13)60020-6
• Short Communication • 上一篇 下一篇
Hui Gao, Bin Zhu*, Jie Yi, Tie-hu Ye, and Yu-guang Huang
Hui Gao, Bin Zhu*, Jie Yi, Tie-hu Ye, and Yu-guang Huang
摘要:
SEVERE tracheal stenosis can not only cause criti- cal medical problems such as severe shortness of breath, hypoxia, and even orthopnea, but also impose overwhelming challenges on the physicians, particularly the anesthesiologist. Life-threa- tening airway obstruction can make the patient’s gas exchange extremely difficult.Though several options could be offered regarding the treatment of tracheal stenosis, normally, tracheal resection and following reconstruction is the first choice for severe airway stenosis.1 Successful surgical intervention relies on the close communication and cooperation between surgeons and anesthesiologists. In these cases, airway management is the top issue for the anesthesiologist, and the level of difficulty varies with stenosis location, severity of stenosis, and surgical technique. Extracorporeal membrane oxygenation (ECMO), or cardiopulmonary bypass (CPB), is rarely utilized for the surgery, but for those impossible airways due to nearly complete tracheal obstruction, ECMO or CPB could be the final choice for anesthesiologists. 2-4 Here we report a case of successful urgent airway management for tracheal resection and reconstruction assisted by temporary CPB.