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Emergency cardiopulmonary bypass for impassable airway

Published online by Cambridge University Press:  02 June 2006

I Tyagi ,
A Goyal ,
R Syal ,
S K Agarwal  and
P Tewari
I Tyagi
Affiliation:
Neuro-otology Unit, Department of Neuro-surgery, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow (UP), India
A Goyal
Affiliation:
Neuro-otology Unit, Department of Neuro-surgery, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow (UP), India
R Syal
Affiliation:
Neuro-otology Unit, Department of Neuro-surgery, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow (UP), India
S K Agarwal
Affiliation:
Department of Cardiovascular and Thoracic Surgery, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow (UP), India
P Tewari
Affiliation:
Department of Anesthesiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow (UP), India
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Abstract

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.

Keywords

Airway ObstructionCardiopulmonary Bypass
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 120 , Issue 8 , August 2006 , pp. 687 - 690
Copyright
2006 JLO (1984) Limited

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