Severe Acute Extrinsic Airway Compression by Mediastinal Tumor Successfully Managed With Extracorporeal Membrane Oxygenation

Emergency Bedside Extracorporeal Membrane Oxygenation for Rescue of Acute Tracheal Obstruction

“…[5][6][7][8][9][10][11][12][13][14][15][16] These cases demonstrate the spectrum of common causes of severe acute airway obstruction, including tumor, foreign body, blood clot, and congenital lesions. Symptoms at presentation ranged from respiratory distress and stridor to full cardiac arrest, as in the present case.…”

Extracorporeal membrane oxygenation rescue for extrinsic airway compression and cardiac tamponade with multiple transports for mediastinal Burkitt’s lymphoma radiation and chemotherapy: case report and review

“…ECMO is a viable support modality in the management of mediastinal malignancy, prior to radiation/chemotherapy or debulking surgery in both pediatric and adult populations. [1,[6][7][8][9][10][11][12] Primary mediastinal tumors should be considered treatable until proven otherwise, while metastases from known primaries should be considered on an individual case-by-case basis. [10] A review of the literature shows the combined number of adult (age ≥ 18 years old) cases with hematologic malignancies and rescue ECMO for respiratory failure to be 20 patients, with a survival of 12 patients to hospital discharge (60%).…”

“…[1,[6][7][8][9][10][11][12] Primary mediastinal tumors should be considered treatable until proven otherwise, while metastases from known primaries should be considered on an individual case-by-case basis. [10] A review of the literature shows the combined number of adult (age ≥ 18 years old) cases with hematologic malignancies and rescue ECMO for respiratory failure to be 20 patients, with a survival of 12 patients to hospital discharge (60%). [1,[6][7][8][9][10][11][12] Wohlfarth et al reports the largest case series hematological malignancies treated with concomitant ECMO for respiratory failure of 14 patients with an overall retrospective study survival of 50% (7 of 14 patients).…”

“…[10] A review of the literature shows the combined number of adult (age ≥ 18 years old) cases with hematologic malignancies and rescue ECMO for respiratory failure to be 20 patients, with a survival of 12 patients to hospital discharge (60%). [1,[6][7][8][9][10][11][12] Wohlfarth et al reports the largest case series hematological malignancies treated with concomitant ECMO for respiratory failure of 14 patients with an overall retrospective study survival of 50% (7 of 14 patients). [1] However, 15 patients (75%) in this combined cohort of 20 patients requiring ECMO were for complications due to treatment of the malignancy (i.e.…”

A case report of severe tracheal obstruction requiring extracorporeal membrane oxygenation

“…Another change in the application of ECMO is its use for bnontraditional Q indications. Case reports have been published for unusual indications such as upper airway surgery [3], inhalation injuries [4], pulmonary embolism [5] [6][7][8], and malignant airway obstruction [9]. Although these conditions are uncommon indications for ECMO, ECMO is a potential option for such life-threatening conditions.…”