Tracheostomy Assisted with Emergency Bypass System in Severe Tracheal Stenosis

고도 기관 협착에서 응급 체외 순환기를 이용한 기관절개술

  • Choi, Si-Young (Department of Thoracic and Cardiovascular Surgery, Uijeongbu St. Mary's Hospital, The Catholic University of Korea College of Medicine) ;
  • Kim, Yong-Hwan (Department of Thoracic and Cardiovascular Surgery, Uijeongbu St. Mary's Hospital, The Catholic University of Korea College of Medicine)
  • 최시영 (가톨릭대학교 의과대학 의정부성모병원 흉부외과학교실) ;
  • 김용환 (가톨릭대학교 의과대학 의정부성모병원 흉부외과학교실)
  • Published : 2007.12.05

Abstract

Airway management is difficult problem in severe tracheal stenosis. A total airway obstruction during the procedure resulted in a fatal outcome. We suggest a tracheostomy assisted with an emergency bypass system as a possible method for avoiding this complication.

고도의 기관 협착에서 기도 확보는 어려운 문제이며, 시술 중의 기도 폐쇄는 치명적인 결과를 초래할 수 있다. 이에 응급 체외 순환기를 이용한 기관절개술을 하나의 방법으로 제시하는 바이다.

Keywords

References

  1. Belmont MJ, Wax MK, DeSouza FN. The difficult airway: cardiopulmonary bypass-the ultimate solution. Head Neck 1998;20:266-9 https://doi.org/10.1002/(SICI)1097-0347(199805)20:3<266::AID-HED12>3.0.CO;2-I
  2. Mason RA, Fielder CP. The obstructed airway in head and neck surgery. Anaesthesia 1999;54:625-8 https://doi.org/10.1046/j.1365-2044.1999.01036.x
  3. Tyagi I, Goyal A, Syal R, et al. Emergency cardiopulmonary bypass for impassable airway. J Laryngol Otol 2006;120:687-90
  4. Ho AM, Chung DC, To EW, et al. Total airway obstruction during local anesthesia in a non-sedated patient with a compromised airway. Can J Anaesth 2004;51: 838-41 https://doi.org/10.1007/BF03018461
  5. Jensen V, Milne B, Salerno T. Femoral-femoral cardiopulmonary bypass prior to induction of anaesthesia in the management of upper airway obstruction. Can Anaesth Soc J 1983;30:270-2 https://doi.org/10.1007/BF03013806
  6. Kurusz M, Zwischenberger JB. Percutaneous cardiopulmonary bypass for cardiac emergencies. Perfusion 2002;17:269-77 https://doi.org/10.1191/0267659102pf581oa