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Anesthesia for tracheal metal stent management utilizing venovenous extracorporeal life support

Kaneko, T.; Itani, M.; Komasawa, N.; Ueki, R.; Tatara, T.

Masui. Japanese Journal of Anesthesiology 61(11): 1269-1272

2012

ISSN/ISBN: 0021-4892
PMID: 23236937
Document Number: 656647
We report a successful case of metal stent replacement utilizing venovenous extracorporeal life support (VV-ECLS). A 71-year-old woman, who had previously undergone tracheal metal stent placement, encountered dyspnea associated with inversion of the stent. Metal stent replacement was planned under general anesthesia. After securing the VV-ECLS in the right and left femoral vein, anesthesia was induced with propofol and remifentanil. Metal stent replacement was conducted under rigid and flexible bronchoscope through the tracheal tube. Oxygenation and carbon dioxide excretion were achieved uneventfully. VV-ECLS was considered useful for the management of subglottic difficult airway such as complex tracheal stenosis.

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