Temporary cardiopulmonary bypass and isolated lung ventilation for tracheal stenosis and reconstruction.

Document Type

Article

Publication Date

11-1-2003

Abstract

A 27-yr-old lady with a past history of prolonged ventilation presented with worsening respiratory distress caused by tracheal stenosis. She required urgent tracheal resection and reconstruction. Because of the risk of an acute respiratory obstruction, spinal anaesthesia was used to establish cardiopulmonary bypass by cannulating the femoral artery and femoral vein. Adequate gas exchange was possible with full flow rate. Thoracotomy was then carried out to mobilize the left main bronchus. After successfully securing an airway by intubation of the left main bronchus, cardiopulmonary bypass was discontinued and tracheal resection and anastomosis was done under conventional one lung anaesthesia.

Keywords

Adult, Anesthesia, Spinal/methods, Cardiopulmonary Bypass/methods

Divisions

fac_med

Publication Title

BJA: British Journal of Anaesthesia

Volume

91

Issue

5

Publisher

Oxford University Press

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