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Korean J Crit Care Med > Volume 26(1); 2011 > Article
Korean Journal of Critical Care Medicine 2011;26(1): 29-33. doi: https://doi.org/10.4266/kjccm.2011.26.1.29
급성 기도폐쇄 환자에서 일시적인 체외막산소화장치를 이용한 성공적 기도확보 3예 -증례 보고-
류지원ㆍ허진원ㆍ임채만ㆍ고윤석ㆍ홍상범
울산대학교 의과대학 서울아산병원 중환자의학 및 호흡기내과학교실
Extracorporeal Membrane Oxygenation as a Bridge to Definitive Airway Security in 3 Severe Acute Extrinsic Airway Compression Patients: A Case Report
Jiwon Lyu, Jin Won Huh, Chae Man Lim, Youn Suck Koh, Sang Bum Hong
Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. sbhong@amc.seoul.kr
ABSTRACT
Extracorporeal membrane oxygenation (ECMO) has been used for cardiac and respiratory failure for over 30 years. Recently, however, ECMO has emerged as a useful means of short-term support in the management of hypoxic patients for nontraditional indications. Here, we report the use of veno-venous ECMO as a bridge to support a patient with severe airway obstruction because of tumor compression. Case 1: A patient with extrinsic airway compression secondary to a large metastatic cancer on neck was successfully managed using ECMO. Case 2: The successful use of ECMO to support a patient with extrinsic airway compression secondary to a recurred thyroid cancer. Case 3: A pregnant woman with airway obstruction secondary to metastatic lymphadenopathy of lung cancer who underwent successful tracheal stent insertion. The 3 patients were successfully weaned off ECMO without any complication. Although these conditions are uncommon indications, ECMO is a potential option for such life-threatening conditions.
Key Words: acute; airway obstruction; extracorporeal membrane oxygenation
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