دورية أكاديمية
Role of VV ECMO tracheal surgery and carinal resection: Two case reports.
| العنوان: | Role of VV ECMO tracheal surgery and carinal resection: Two case reports. |
|---|---|
| المؤلفون: | Mingote Á; Servicio de Anestesiología, Hospital Universitario Puerta de Hierro Majadahonda, Madrid, Spain; Facultad de Medicina, Universidad Autónoma de Madrid, Madrid, Spain. Electronic address: alvaro.mingote.llado@gmail.com., Simic Silva D; Servicio de Anestesiología, Hospital Universitario Puerta de Hierro Majadahonda, Madrid, Spain., Gómez Nieto FJ; Servicio de Anestesiología, Hospital Universitario Puerta de Hierro Majadahonda, Madrid, Spain., González Román AI; Servicio de Anestesiología, Hospital Universitario Puerta de Hierro Majadahonda, Madrid, Spain., García Fernández J; Servicio de Anestesiología, Hospital Universitario Puerta de Hierro Majadahonda, Madrid, Spain. |
| المصدر: | Revista espanola de anestesiologia y reanimacion [Rev Esp Anestesiol Reanim (Engl Ed)] 2024 Aug-Sep; Vol. 71 (7), pp. 545-548. Date of Electronic Publication: 2024 Feb 28. |
| نوع المنشور: | Case Reports; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier España Country of Publication: Spain NLM ID: 101778594 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2341-1929 (Electronic) Linking ISSN: 23411929 NLM ISO Abbreviation: Rev Esp Anestesiol Reanim (Engl Ed) Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Barcelona : Elsevier España, 2015- |
| مواضيع طبية MeSH: | Extracorporeal Membrane Oxygenation*/methods , Trachea*/surgery, Humans ; Male ; Middle Aged ; Female ; Pneumonectomy/methods ; Tracheal Neoplasms/surgery ; Aged ; Adult ; Blood Loss, Surgical/prevention & control |
| مستخلص: | The aim of this study is to describe the anaesthesia management of two patients undergoing carinal resection under veno-venous extracorporeal membrane oxygenation (VV ECMO). In both cases, anaesthesia was induced and then maintained with inhalational agents during pneumonectomy and mediastinoscopy (respectively). Then the jugular and femoral veins were cannulated and VV ECMO was started after heparinization. One of the patients presented bleeding during surgery, which was treated with low-dose vasopressors (norepinephrine) and transfusion of platelets, fresh frozen plasma, and concentrated red blood cells. During VV ECMO, anaesthesia was maintained with target-controlled infusion of propofol. VV ECMO can be expected to improve surgical conditions in tracheal surgery; however, it is still a novel technique in this context. In selected patients, it would guarantee ventilatory support during carinal resection, but it is essential to carefully plan anaesthesia maintenance and prepare for VV ECMO-related complications. This technique should only be used in tertiary centres with experience in VV ECMO management. (Copyright © 2023 Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor. Publicado por Elsevier España, S.L.U. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Carinal resection; Cirugía de carina; Cirugía de tráquea; Cirugía torácica; Extracorporeal membrane oxygenation; Oxigenación por membrana extracorpórea; Oxigenación por membrana extracorpórea veno-venosa; Thoracic surgery; Tracheal surgery; Veno-venous extracorporeal membrane oxygenation |
| تواريخ الأحداث: | Date Created: 20240301 Date Completed: 20240807 Latest Revision: 20240807 |
| رمز التحديث: | 20240808 |
| DOI: | 10.1016/j.redare.2024.02.025 |
| PMID: | 38428676 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2341-1929 |
|---|---|
| DOI: | 10.1016/j.redare.2024.02.025 |