Impossible Airway Requiring Venovenous Bypass for Tracheostomy
The elective surgical airway is the definitive management for a tracheal stenotic lesion that is not a candidate for tracheal resection, or who has failed multiple-tracheal dilations. This case report details the management of a patient who has failed an elective awake tracheostomy secondary to the...
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| Published in: | Case reports in anesthesiology Vol. 2012; no. 2012; pp. 1 - 3 |
|---|---|
| Main Authors: | , |
| Format: | Journal Article |
| Language: | English |
| Published: |
Cairo, Egypt
Hindawi Puplishing Corporation
01-01-2012
Hindawi Publishing Corporation Hindawi Limited |
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| Abstract | The elective surgical airway is the definitive management for a tracheal stenotic lesion that is not a candidate for tracheal resection, or who has failed multiple-tracheal dilations. This case report details the management of a patient who has failed an elective awake tracheostomy secondary to the inability to be intubated as well as severe scar tissue at the surgical site. A combination of regional anesthesia and venovenous bypass is used to facilitate the surgical airway management of this patient. Cerebral oximetry and a multidisciplinary team approach aid in early detection of an oxygenation issue, as well as the emergent intervention that preserved this patient’s life. |
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| AbstractList | The elective surgical airway is the definitive management for a tracheal stenotic lesion that is not a candidate for tracheal resection, or who has failed multiple-tracheal dilations. This case report details the management of a patient who has failed an elective awake tracheostomy secondary to the inability to be intubated as well as severe scar tissue at the surgical site. A combination of regional anesthesia and venovenous bypass is used to facilitate the surgical airway management of this patient. Cerebral oximetry and a multidisciplinary team approach aid in early detection of an oxygenation issue, as well as the emergent intervention that preserved this patient's life. |
| Author | Gardes, Johnathan Straker, Tracey |
| AuthorAffiliation | Department of Anesthesiology, Montefiore Medical Center, Bronx, New York City, NY 10467, USA |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/22953068$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_1053_j_jvca_2020_03_015 crossref_primary_10_1186_s43163_022_00211_3 |
| Cites_doi | 10.1097/00000542-200305000-00032 10.1017/S0022215108003216 10.4187/respcare.00948 10.4103/0019-5049.72649 10.1002/(SICI)1097-0347(199805)20:3<266::AID-HED12>3.0.CO;2-I 10.1378/chest.109.6.1649 10.1007/s00595-010-4303-3 |
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| Contributor | Straker, Tracey |
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| Copyright | Copyright © 2012 Johnathan Gardes and Tracey Straker. Copyright © 2012 Johnathan Gardes and Tracey Straker. Johnathan Gardes et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Copyright © 2012 J. Gardes and T. Straker. 2012 |
| Copyright_xml | – notice: Copyright © 2012 Johnathan Gardes and Tracey Straker. – notice: Copyright © 2012 Johnathan Gardes and Tracey Straker. Johnathan Gardes et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. – notice: Copyright © 2012 J. Gardes and T. Straker. 2012 |
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| References | (5) 2009; 123 (1) 2003; 98 (6) 2011; 41 (3) 2010; 54 (7) 1998; 20 (2) 2011; 56 (4) 1996; 109 9570633 - Head Neck. 1998 May;20(3):266-9 21496362 - Respir Care. 2011 Aug;56(8):1198-202 21224977 - Indian J Anaesth. 2010 Nov;54(6):565-8 21431480 - Surg Today. 2011 Apr;41(4):490-5 12717151 - Anesthesiology. 2003 May;98(5):1269-77 18808728 - J Laryngol Otol. 2009 Jul;123(7):807-10 8769526 - Chest. 1996 Jun;109(6):1649-50 3 5 6 |
| References_xml | – volume: 109 start-page: 1649 issue: 6 year: 1996 end-page: 1650 ident: 4 article-title: The impossible airway: a plan publication-title: – volume: 98 start-page: 1269 issue: 5 year: 2003 end-page: 1277 ident: 1 article-title: Practice guidelines for management of the difficult airway: an updated report by the American Society of Anesthesiologists task force on management of the difficult airway publication-title: – volume: 56 start-page: 1198 issue: 8 year: 2011 end-page: 1202 ident: 2 article-title: Extracorporeal membrane oxygenation, extubation, and lung-recruitment maneuvers as rescue therapy in a patient with tracheal dehiscence following slide tracheoplasty publication-title: – volume: 54 start-page: 565 issue: 6 year: 2010 end-page: 568 ident: 3 article-title: Femoro-femoral cardiopulmonary bypass for the resection of an anterior mediastinal mass publication-title: – volume: 20 start-page: 266 year: 1998 end-page: 269 ident: 7 article-title: The difficult airway: cardiopulmonary bypass—the ultimate solution publication-title: – volume: 41 start-page: 490 issue: 4 year: 2011 end-page: 495 ident: 6 article-title: Tracheal resection for malignant and benign diseases: surgical results and perioperative considerations publication-title: – volume: 123 start-page: 807 issue: 7 year: 2009 end-page: 810 ident: 5 article-title: Extracorporeal oxygenation support for curative surgery in a patient with papillary thyroid carcinoma invading the trachea publication-title: – volume: 98 start-page: 1269 issue: 5 year: 2003 ident: 1 publication-title: Anesthesiology doi: 10.1097/00000542-200305000-00032 – ident: 5 doi: 10.1017/S0022215108003216 – volume: 56 start-page: 1198 issue: 8 year: 2011 ident: 2 publication-title: Respiratory care doi: 10.4187/respcare.00948 – ident: 3 doi: 10.4103/0019-5049.72649 – volume: 20 start-page: 266 year: 1998 ident: 7 publication-title: Head and Neck doi: 10.1002/(SICI)1097-0347(199805)20:3<266::AID-HED12>3.0.CO;2-I – volume: 109 start-page: 1649 issue: 6 year: 1996 ident: 4 publication-title: Chest doi: 10.1378/chest.109.6.1649 – ident: 6 doi: 10.1007/s00595-010-4303-3 |
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| SubjectTerms | Airway management Algorithms Anesthesiology Antibiotics Case Report Emergency medical care Hypothyroidism Intubation Medical imaging Ostomy Ventilation |
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| Title | Impossible Airway Requiring Venovenous Bypass for Tracheostomy |
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