Impossible Airway Requiring Venovenous Bypass for Tracheostomy. (16th August 2012)

• Record Type: Journal Article
• Authors: Gardes, Johnathan; Straker, Tracey
• Other Names: Derose J. J. Academic Editor.; Kodaka M. Academic Editor.; Marandola M. Academic Editor.
• Is Part Of: Case reports in anesthesiology. Volume 2012(2012)
• Publication Date: 2012-08-16
• Subjects: Anesthesiology -- Periodicals; 617.9605
• DOI: 10.1155/2012/592198
• Languages: English
• ISSNs: 2090-6382

Abstract

Abstract : The elective surgical airway is the definitive management for a tracheal stenotic lesion that is not a candidate for tracheal resection, or who has failed multiple-tracheal dilations. This case report details the management of a patient who has failed an elective awake tracheostomy secondary to the inability to be intubated as well as severe scar tissue at the surgical site. A combination of regional anesthesia and venovenous bypass is used to facilitate the surgical airway management of this patient. Cerebral oximetry and a multidisciplinary team approach aid in early detection of an oxygenation issue, as well as the emergent intervention that preserved this patient's life.