21. The role of cardiopulmonary bypass in surgical cases with difficult airways: A case series report

Vu Ngoc Tu, Tran Le Cong Thang, Tran Viet Duc, Nguyen Ngoc Phuoc, Nguyen Anh Huy

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Abstract

Background: Airway management is always challenging for anesthesiologists and surgeons in high risk surgeries. Cardiopulmonary bypass is an effective method of oxygen administration in such cases. This study reports 2 cases who underwent surgery at Hanoi Medical University Hospital under the support of cardiopulmonary bypass. The first case was a case of tracheal invasive left-lobe thyroid carcinoma. The second case was a case of tracheoesophageal fistula after endoscopic esophagectomy. In both cases, the use of femoral-femoral cardiopulmonary bypass, under local anesthesia, ensured adequate oxygenation. No complications occurred during the initiation and operation of the extracorporeal circulatory system. Cardiopulmonary bypass is an effective method for difficult airways, creating favorable conditions for surgery.

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References

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