Cargando…
Successful difficult airway management with emergent venovenous extracorporeal membrane oxygenation in a patient with severe tracheal deformity: a case report
BACKGROUND: Difficult airway management is occasionally encountered in the emergency department, and recent studies suggest that extracorporeal membrane oxygenation can be useful in these cases. CASE PRESENTATION: A 74‐year‐old man was transferred to our hospital due to worsening dyspnea. On arrival...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7377931/ https://www.ncbi.nlm.nih.gov/pubmed/32724660 http://dx.doi.org/10.1002/ams2.539 |
_version_ | 1783562311214039040 |
---|---|
author | Kakizaki, Ryuichiro Bunya, Naofumi Uemura, Shuji Narimatsu, Eichi |
author_facet | Kakizaki, Ryuichiro Bunya, Naofumi Uemura, Shuji Narimatsu, Eichi |
author_sort | Kakizaki, Ryuichiro |
collection | PubMed |
description | BACKGROUND: Difficult airway management is occasionally encountered in the emergency department, and recent studies suggest that extracorporeal membrane oxygenation can be useful in these cases. CASE PRESENTATION: A 74‐year‐old man was transferred to our hospital due to worsening dyspnea. On arrival, it was found that he was in respiratory distress and was comatose. Arterial blood gas analysis showed severe hypercapnia and respiratory acidosis. Intubation could not be done because he had severe tracheal deformity due to cervical‐thoracic kyphosis secondary to vertebral tuberculosis. Therefore, we carried out surgical tracheostomy under venovenous extracorporeal membrane oxygenation. The patient’s oxygenation gradually improved, and extracorporeal membrane oxygenation was withdrawn on day 8. He was transferred to another hospital on day 46 and suffered no neurological deficits. CONCLUSION: Severe tracheal deformity can result in a difficult airway. Extracorporeal membrane oxygenation is an effective life‐saving approach in cases of difficult airway management due to severe tracheal deformity. |
format | Online Article Text |
id | pubmed-7377931 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-73779312020-07-27 Successful difficult airway management with emergent venovenous extracorporeal membrane oxygenation in a patient with severe tracheal deformity: a case report Kakizaki, Ryuichiro Bunya, Naofumi Uemura, Shuji Narimatsu, Eichi Acute Med Surg Case Reports BACKGROUND: Difficult airway management is occasionally encountered in the emergency department, and recent studies suggest that extracorporeal membrane oxygenation can be useful in these cases. CASE PRESENTATION: A 74‐year‐old man was transferred to our hospital due to worsening dyspnea. On arrival, it was found that he was in respiratory distress and was comatose. Arterial blood gas analysis showed severe hypercapnia and respiratory acidosis. Intubation could not be done because he had severe tracheal deformity due to cervical‐thoracic kyphosis secondary to vertebral tuberculosis. Therefore, we carried out surgical tracheostomy under venovenous extracorporeal membrane oxygenation. The patient’s oxygenation gradually improved, and extracorporeal membrane oxygenation was withdrawn on day 8. He was transferred to another hospital on day 46 and suffered no neurological deficits. CONCLUSION: Severe tracheal deformity can result in a difficult airway. Extracorporeal membrane oxygenation is an effective life‐saving approach in cases of difficult airway management due to severe tracheal deformity. John Wiley and Sons Inc. 2020-07-23 /pmc/articles/PMC7377931/ /pubmed/32724660 http://dx.doi.org/10.1002/ams2.539 Text en © 2020 The Authors. Acute Medicine & Surgery published by John Wiley & Sons Australia, Ltd on behalf of Japanese Association for Acute Medicine This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Case Reports Kakizaki, Ryuichiro Bunya, Naofumi Uemura, Shuji Narimatsu, Eichi Successful difficult airway management with emergent venovenous extracorporeal membrane oxygenation in a patient with severe tracheal deformity: a case report |
title | Successful difficult airway management with emergent venovenous extracorporeal membrane oxygenation in a patient with severe tracheal deformity: a case report |
title_full | Successful difficult airway management with emergent venovenous extracorporeal membrane oxygenation in a patient with severe tracheal deformity: a case report |
title_fullStr | Successful difficult airway management with emergent venovenous extracorporeal membrane oxygenation in a patient with severe tracheal deformity: a case report |
title_full_unstemmed | Successful difficult airway management with emergent venovenous extracorporeal membrane oxygenation in a patient with severe tracheal deformity: a case report |
title_short | Successful difficult airway management with emergent venovenous extracorporeal membrane oxygenation in a patient with severe tracheal deformity: a case report |
title_sort | successful difficult airway management with emergent venovenous extracorporeal membrane oxygenation in a patient with severe tracheal deformity: a case report |
topic | Case Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7377931/ https://www.ncbi.nlm.nih.gov/pubmed/32724660 http://dx.doi.org/10.1002/ams2.539 |
work_keys_str_mv | AT kakizakiryuichiro successfuldifficultairwaymanagementwithemergentvenovenousextracorporealmembraneoxygenationinapatientwithseveretrachealdeformityacasereport AT bunyanaofumi successfuldifficultairwaymanagementwithemergentvenovenousextracorporealmembraneoxygenationinapatientwithseveretrachealdeformityacasereport AT uemurashuji successfuldifficultairwaymanagementwithemergentvenovenousextracorporealmembraneoxygenationinapatientwithseveretrachealdeformityacasereport AT narimatsueichi successfuldifficultairwaymanagementwithemergentvenovenousextracorporealmembraneoxygenationinapatientwithseveretrachealdeformityacasereport |