Document Detail


Emergency cardiopulmonary bypass for impassable airway.
MedLine Citation:
PMID:  16740200     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: Some medical emergencies need compromised airway management as the first measure. Most of these cases are first seen by an ENT surgeon, whose proper evaluation and timely intervention can prove decisive. Knowledge of alternatives for airway management can prove life-saving, although these may require the active involvement of other specialities. CASE REPORTS: Two patients, a 27-year-old man and a 31-year-old woman, presented in respiratory distress with cyanosis. Each had a pedunculated mass in the lower trachea above the carina, with about 90 per cent tracheal lumen obstruction. They were managed successfully with femorofemoral cardiopulmonary bypass and restoration of airway. CONCLUSION: Femorofemoral cardiopulmonary bypass can be a relatively safe option which gains time for airway management in such conditions. Knowledge of this procedure among ENT surgeons can lead to timely intervention, in properly selected cases, which can save valuable time.
Authors:
I Tyagi; A Goyal; R Syal; S K Agarwal; P Tewari
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2006-06-02
Journal Detail:
Title:  The Journal of laryngology and otology     Volume:  120     ISSN:  1748-5460     ISO Abbreviation:  J Laryngol Otol     Publication Date:  2006 Aug 
Date Detail:
Created Date:  2006-08-03     Completed Date:  2006-11-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8706896     Medline TA:  J Laryngol Otol     Country:  England    
Other Details:
Languages:  eng     Pagination:  687-90     Citation Subset:  AIM; IM    
Affiliation:
Neuro-otology Unit, Department of Neuro-surgery, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow (UP), India.
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MeSH Terms
Descriptor/Qualifier:
Adult
Airway Obstruction / etiology,  radiography,  surgery*
Arteriovenous Shunt, Surgical / methods*
Carcinoma, Adenoid Cystic / complications,  radiography,  surgery
Carcinoma, Squamous Cell / complications,  radiography,  surgery
Cardiopulmonary Bypass / methods*
Emergencies
Female
Femoral Artery / surgery*
Femoral Vein / surgery*
Humans
Male
Tomography, X-Ray Computed
Trachea / radiography
Tracheal Neoplasms / complications,  radiography,  surgery

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