Raza Hassan A, Nokes Brandon T, Jaroszewski Dawn, Garrett Ashley, Sista Ramachandra, Ross Jeffrey, Farmer Joseph C, Lyng Philip J
Department of Medicine, New York Presbyterian Queens, United States.
Department of Pulmonary and Critical Care Medicine, University of California, San Diego, United States.
Respir Med Case Rep. 2019 Jul 2;28:100890. doi: 10.1016/j.rmcr.2019.100890. eCollection 2019.
Extracorporeal membrane oxygenation (ECMO) is a form of prolonged cardiopulmonary bypass that has extensively been used in critically ill patients in an intensive care setting. Both veno-venous (VV-) and veno-arterial (VA-) ECMO have been described as a perioperative rescue or replacement of endotracheal intubation in the setting of extrinsic airway compression due to a mediastinal mass. In this paper, we will outline the utility of ECMO in the context of extrinsic airway compression and will use an illustrative case to examine how ECMO can be useful during severe airway obstruction. Our patient successfully underwent surgical resection of the mass while on VV-ECMO. His symptoms resolved quickly and is now back to his baseline quality of life.
体外膜肺氧合（ECMO）是一种延长的体外循环形式，已广泛应用于重症监护环境中的危重病患者。静脉-静脉（VV-）和静脉-动脉（VA-）ECMO均被描述为在纵隔肿物导致外在气道受压的情况下作为围手术期抢救措施或替代气管插管。在本文中，我们将概述ECMO在外在气道受压情况下的应用，并将通过一个示例病例来探讨ECMO在严重气道阻塞时如何发挥作用。我们的患者在接受VV-ECMO支持期间成功接受了肿物的手术切除。他的症状迅速缓解，现在已恢复到基线生活质量。
