Related Experiment Videos
The difficult airway: cardiopulmonary bypass--the ultimate solution
M J Belmont1, M K Wax, F N DeSouza
1Department of Otolaryngology-HNS, State University of New York at Buffalo, Buffalo General Hospital, 14203, USA.
Head & Neck
|May 7, 1998
Summary
Severe respiratory distress from a neglected thyroid lymphoma required emergency airway management. Femoral-femoral cardiopulmonary bypass under local anesthesia enabled a safe tracheotomy, offering a viable solution for critical airway compromise.
Area of Science:
- Medicine
- Surgery
- Oncology
Background:
- Large thyroid masses typically undergo elective removal.
- Neglected compressive thyroid masses can lead to severe respiratory distress.
- Airway management in such cases presents significant challenges.
Observation:
- A case of neglected thyroid lymphoma is presented.
- The patient experienced impending airway collapse due to supraglottic edema and a large neck mass.
- Conventional airway management techniques were not feasible.
Findings:
- Emergency airway management was necessitated.
- Femoral-femoral cardiopulmonary bypass was initiated under local anesthesia.
- This facilitated a controlled tracheotomy, ensuring adequate oxygenation.
Implications:
- This approach offers a safe method for airway control in critical situations.
- It is a viable alternative when intubation or surgical airway creation is hazardous.
- Highlights the importance of timely intervention for compressive thyroid masses.