Use of Extracorporeal Membrane Oxygenation (ECMO) for Management of Profound Dyspnea Caused by a Mediastinal Goiter

Hammond BM, Shartel SA, Fundakowski CE, Keresztury MF, Kaiser LR and Erkmen CP

Department of Anesthesia, Temple University Health Systems, USA
Department of Otolaryngology, Temple University Health Systems, USA
Department of Thoracic Medicine and Surgery, Temple University Health Systems, USA

^*Correspondance to: Cherie P Erkmen 

 PDF  Full Text DOI: 10.25107/2474-1647.1076

Abstract

Perioperative management of a large mediastinal mass poses a substantial clinical challenge, particularly during induction of general anesthesia. Critical airway compression with inability to ventilate is a significant threat. We discuss a patient undergoing resection of a complex mediastinal mass who upon induction and attempted intubation had insufficient oxygenation and ventilation. We initiated veno-venous extracorporeal membrane oxygenation allowing for a controlled resection of the complex tumor. She recovered successfully with no complication. Our case exemplifies the importance of multidisciplinary coordination in the perioperative management of the patient with a complex mediastinal mass.

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Cite the article

Hammond BM, Shartel SA, Fundakowski CE, Keresztury MF, Kaiser LR, Erkmen CP. Use of Extracorporeal Membrane Oxygenation (ECMO) for Management of Profound Dyspnea Caused by a Mediastinal Goiter. Clin Surg. 2016; 1: 1076.