Use of Extra-Corporeal Membrane Oxygenation to Facilitate Removal of a Tracheal Foreign Body in an Adult

Authors

K. Gage Parr, GW Department of Anesthesiology and Critical Care Medicine
Lotonna Obiora, GW Department of Anesthesiology and Critical Care Medicine
Elizabeth Pocock, GW Division of Cardiac Surgery
Arjun Joshi, GW Division of Otorhinolaryngology

Document Type

Journal Article

Study Type

Case Report

Publication Date

7-2020

Journal

Journal of Cardiothoracic and Vascular Anesthesia

DOI

10.1053/j.jvca.2020.07.035

Keywords

Extracorporeal Membrane Oxygenationendotracheal tubeforeign bodyobstructive sleep apneaPost-Polio Syndromesupra glottic airwaytrachea-esophageal fistulatrans-thoracic echocardiography

Abstract

The use of extracorporeal membrane oxygenation (ECMO) has been described to facilitate removal a laryngeal and/or tracheal and foreign body that resulted from aspiration. Most of these descriptions have been acute cases in the pediatric population. We present the case of a foreign body, cervical screw, in an adult female that resulted from dislodgment and migration into the sub-glottic space through the membraneous trachea. Atraumatic intubation was not possible, therefore a supra-glottic airway (SGA) was placed after induction, venous - venous (v-v) ECMO was used to oxygenate the patient and the foreign body was removed through the trachea.

APA Citation

Parr, K. G., Obiora, L., Pocock, E., & Joshi, A. (2020). Use of Extra-Corporeal Membrane Oxygenation to Facilitate Removal of a Tracheal Foreign Body in an Adult. Journal of Cardiothoracic and Vascular Anesthesia, (). http://dx.doi.org/10.1053/j.jvca.2020.07.035

Peer Reviewed

1