PMID- 35261602
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220310
IS  - 1658-354X (Print)
IS  - 0975-3125 (Electronic)
VI  - 16
IP  - 1
DP  - 2022 Jan-Mar
TI  - Management of refractory hypoxemia during elective extracorporeal support for 
      complex tracheal resection.
PG  - 120-123
LID - 10.4103/sja.sja_265_21 [doi]
AB  - Venovenous extracorporeal membrane oxygenation (VV-ECMO) is increasingly used in 
      managing challenging airway and thoracic cases with complex airway manipulations. 
      We present a case of a complex tracheal resection needing prolonged apnea times 
      for which VV-ECMO was electively planned. Intraoperatively, the team was faced 
      with continued oxygen desaturations during periods of apnea. With an algorithmic 
      approach to troubleshooting hypoxemia, several factors were taken into 
      consideration. Apneic oxygenation was applied to the open tracheal segment. 
      Despite an open airway, the applied apneic oxygenation facilitated oxygenation to 
      the portion of the cardiac output that was being shunted through the lungs as 
      opposed to the VV-ECMO circuit, enabling uninterrupted completion of the surgical 
      resection and reanastomosis.
CI  - Copyright: (c) 2022 Saudi Journal of Anesthesia.
FAU - Venkataramani, Ranjani
AU  - Venkataramani R
AD  - Department of Anesthesiology and Critical Care Medicine, University of New Mexico 
      School of Medicine, Albuquerque, New Mexico, USA.
FAU - Lewis, Alexander E
AU  - Lewis AE
AD  - Department of Anesthesiology and Critical Care Medicine, University of New Mexico 
      School of Medicine, Albuquerque, New Mexico, USA.
FAU - Perez-Munoz, Ivette
AU  - Perez-Munoz I
AD  - Department of Anesthesiology and Critical Care Medicine, University of New Mexico 
      School of Medicine, Albuquerque, New Mexico, USA.
FAU - Gerstein, Neal S
AU  - Gerstein NS
AD  - Department of Anesthesiology and Critical Care Medicine, University of New Mexico 
      School of Medicine, Albuquerque, New Mexico, USA.
LA  - eng
PT  - Case Reports
DEP - 20220104
PL  - India
TA  - Saudi J Anaesth
JT  - Saudi journal of anaesthesia
JID - 101500601
PMC - PMC8846250
OTO - NOTNLM
OT  - Airway surgery
OT  - extracorporeal membrane oxygenation
OT  - tracheal surgery
COIS- There are no conflicts of interest.
EDAT- 2022/03/10 06:00
MHDA- 2022/03/10 06:01
PMCR- 2022/01/01
CRDT- 2022/03/09 08:44
PHST- 2021/04/12 00:00 [received]
PHST- 2021/07/25 00:00 [revised]
PHST- 2021/08/11 00:00 [accepted]
PHST- 2022/03/09 08:44 [entrez]
PHST- 2022/03/10 06:00 [pubmed]
PHST- 2022/03/10 06:01 [medline]
PHST- 2022/01/01 00:00 [pmc-release]
AID - SJA-16-120 [pii]
AID - 10.4103/sja.sja_265_21 [doi]
PST - ppublish
SO  - Saudi J Anaesth. 2022 Jan-Mar;16(1):120-123. doi: 10.4103/sja.sja_265_21. Epub 
      2022 Jan 4.