Spontaneous ventilation via facemask and laryngeal mask airway as bridge to extracorporeal membrane oxygenation during long-segment tracheal stenosis repair.

摘要

Congenital tracheal stenosis is a rare, potentially life-threatening condition. Infrequent case reports in the medical literature describe a variety of techniques used to ensure adequate oxygenation and ventilation during these challenging cases (1-6)- The variability in location and length of the tracheal stenosis presents challenges for the anesthesiologist in securing and maintaining the airway during surgery. Frequently, maintenance of oxygenation and ventilation is accomplished via an endotracheal tube extending across the operative field or by cardiopulmonary bypass in cases where intubation is not possible. In this case report, the severity of tracheal congenital stenosis precluded endotracheal tube intubation, requiring alternative airway management strategies prior to initiation of extracorporeal membrane oxygenation (ECMO).