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Central airway obstruction treated with initial support by venovenous extracorporeal membrane oxygenation
A 24-year-old man with Down syndrome and congenital tracheal stenosis, who had undergone cartilage patch tracheoplasty twice in infancy, was transferred from a local hospital to manage an airway emergency. On arrival, the patient was in severe respiratory distress. Increased airway pressure followin...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7949422/ https://www.ncbi.nlm.nih.gov/pubmed/33692043 http://dx.doi.org/10.1136/bcr-2020-237282 |
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author | Shirasaki, Kasumi Hifumi, Toru Kato, Takashi Ishimatsu, Shinichi |
author_facet | Shirasaki, Kasumi Hifumi, Toru Kato, Takashi Ishimatsu, Shinichi |
author_sort | Shirasaki, Kasumi |
collection | PubMed |
description | A 24-year-old man with Down syndrome and congenital tracheal stenosis, who had undergone cartilage patch tracheoplasty twice in infancy, was transferred from a local hospital to manage an airway emergency. On arrival, the patient was in severe respiratory distress. Increased airway pressure following endotracheal intubation complicated the administration of mechanical ventilation. CT of the chest showed widespread consolidation and tracheal stenosis 3 cm above the carina distal to the tip of the endotracheal tube. The diagnosis was tracheal stenosis with type A influenza infection. The patient was transferred to another hospital for initiating venovenous extracorporeal membrane oxygenation (VV-ECMO). Intubation with a 6.0 mm spiral tube was successful after intraluminal balloon dilatation of the tracheal stenosis. The patient was admitted to the intensive care unit and was weaned off VV-ECMO on day 3 due to improvement in respiratory status. A tracheotomy was performed on day 28 and the tracheal tube was removed on day 41. |
format | Online Article Text |
id | pubmed-7949422 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-79494222021-04-13 Central airway obstruction treated with initial support by venovenous extracorporeal membrane oxygenation Shirasaki, Kasumi Hifumi, Toru Kato, Takashi Ishimatsu, Shinichi BMJ Case Rep Case Report A 24-year-old man with Down syndrome and congenital tracheal stenosis, who had undergone cartilage patch tracheoplasty twice in infancy, was transferred from a local hospital to manage an airway emergency. On arrival, the patient was in severe respiratory distress. Increased airway pressure following endotracheal intubation complicated the administration of mechanical ventilation. CT of the chest showed widespread consolidation and tracheal stenosis 3 cm above the carina distal to the tip of the endotracheal tube. The diagnosis was tracheal stenosis with type A influenza infection. The patient was transferred to another hospital for initiating venovenous extracorporeal membrane oxygenation (VV-ECMO). Intubation with a 6.0 mm spiral tube was successful after intraluminal balloon dilatation of the tracheal stenosis. The patient was admitted to the intensive care unit and was weaned off VV-ECMO on day 3 due to improvement in respiratory status. A tracheotomy was performed on day 28 and the tracheal tube was removed on day 41. BMJ Publishing Group 2021-03-10 /pmc/articles/PMC7949422/ /pubmed/33692043 http://dx.doi.org/10.1136/bcr-2020-237282 Text en © BMJ Publishing Group Limited 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/ http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/. |
spellingShingle | Case Report Shirasaki, Kasumi Hifumi, Toru Kato, Takashi Ishimatsu, Shinichi Central airway obstruction treated with initial support by venovenous extracorporeal membrane oxygenation |
title | Central airway obstruction treated with initial support by venovenous extracorporeal membrane oxygenation |
title_full | Central airway obstruction treated with initial support by venovenous extracorporeal membrane oxygenation |
title_fullStr | Central airway obstruction treated with initial support by venovenous extracorporeal membrane oxygenation |
title_full_unstemmed | Central airway obstruction treated with initial support by venovenous extracorporeal membrane oxygenation |
title_short | Central airway obstruction treated with initial support by venovenous extracorporeal membrane oxygenation |
title_sort | central airway obstruction treated with initial support by venovenous extracorporeal membrane oxygenation |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7949422/ https://www.ncbi.nlm.nih.gov/pubmed/33692043 http://dx.doi.org/10.1136/bcr-2020-237282 |
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