Anesthesia & Clinical Research
Open Access
ISSN: 2155-6148
+44 1223 790975
ISSN: 2155-6148
+44 1223 790975
Gomar C
Spain
Case Report
Use of Venovenous Extracorporeal Membrane Oxygenation to Anticipate
Difficult One Lung Ventilation in Thoracic surgery
Author(s): Perdomo JM, Gomar C, Navarro R, Mata MT and Gimferrer JPerdomo JM, Gomar C, Navarro R, Mata MT and Gimferrer J
Thoracic surgery may create clinical scenarios where the maintenance of a correct oxygenation and ventilation
may be challenging and could lead to incomplete surgery despite cardiovascular stability. Recently, venovenous
extracorporeal membrane oxygenation (V-V ECMO) has emerged as an alternative to manage these situations
when neither one lung ventilation (OLV) nor other ventilation and oxygenation techniques are feasible or sufficient
due to associated lung disease or difficult airway. Here, we report the use of V-V ECMO support in two cases of
thoracic surgery in which difficult OLV was anticipated. From the experience gathered in these two cases, we
recommend to consider the use of V-V ECMO in selected patients with compromised airway or significant disease of
the contralateral surgical hemithorax where conventional options cannot g.. View More»
DOI:
10.4172/2155-6148.1000505