Chinese Medical Sciences Journal ›› 2013, Vol. 28 ›› Issue (1): 55-57.doi: 10.1016/S1001-9294(13)60020-6

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Urgent Tracheal Resection and Reconstruction Assisted by Temporary Cardiopulmonary Bypass: a Case Report

Hui Gao, Bin Zhu*, Jie Yi, Tie-hu Ye, and Yu-guang Huang   

  1. Department of Anesthesiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China
  • 收稿日期:2012-08-28 出版日期:2013-03-26 发布日期:2013-03-26
  • 作者简介:*Corresponding author Tel: 86-10-69155582, E-mail: pumchzhubin@ yahoo.com.cn

Urgent Tracheal Resection and Reconstruction Assisted by Temporary Cardiopulmonary Bypass: a Case Report

Hui Gao, Bin Zhu*, Jie Yi, Tie-hu Ye, and Yu-guang Huang   

  1. Department of Anesthesiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China
  • Received:2012-08-28 Published:2013-03-26 Online:2013-03-26
  • About author:*Corresponding author Tel: 86-10-69155582, E-mail: pumchzhubin@ yahoo.com.cn

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.

关键词: tracheal resection, tracheal reconstruction, temporary cardiopulmonary bypass

Abstract:

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.

Key words: tracheal resection, tracheal reconstruction, temporary cardiopulmonary bypass

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