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Intraoperative Extracorporeal Membrane Oxygenation in Thoracic Surgery
Sigrid Johannesen1, Subrato J Deb1
1Department of Surgery, Section of Thoracic and Foregut Surgery, University of Oklahoma Health Sciences Center, Oklahoma City, OK.
The Annals of Thoracic Surgery
|March 7, 2020
Summary
Extracorporeal membrane oxygenation (ECMO) can safely support patients during complex thoracic surgeries, including tracheal procedures and lung isolation challenges. This approach offers a low-risk method to enhance surgical outcomes when intensive care unit support is not feasible.
Area of Science:
- Cardiovascular Sciences
- Thoracic Surgery
- Respiratory Medicine
Background:
- Limited evidence exists for extracorporeal membrane oxygenation (ECMO) use outside the intensive care unit.
- Intraoperative ECMO presents a potential solution for complex thoracic surgical scenarios.
Observation:
- Three distinct clinical cases demonstrated the successful application of intraoperative ECMO.
- Peripheral venovenous cannulation was employed for augmentation during tracheal surgery and to manage intolerance to lung isolation.
Findings:
- Intraoperative ECMO facilitated complex thoracic procedures, including tracheal surgery and cases with lung isolation difficulties.
- All patients were successfully de-cannulated post-surgery without ECMO-related complications.
Implications:
- Intraoperative ECMO can be a valuable, low-risk tool for thoracic surgeons.
- Consideration of ECMO is recommended for tracheal surgery and challenging lung isolation cases.
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