Korean J Otorhinolaryngol-Head Neck Surg.  2015 Dec;58(12):882-885. 10.3342/kjorl-hns.2015.58.12.882.

A Case of Inhalation Burn-Induced Extensive Tracheal Inflammatory Crust Removed by Ventilating Bronchoscopy under Tracheostomy and Extracorporeal Membrane Oxygenation

• Park KH
• Park JH
• Park A
• Yoo YS

• KMID: 2135833
• DOI: http://doi.org/10.3342/kjorl-hns.2015.58.12.882

Abstract

Foreign body impaction in airway is life-threatening as it can cause total airway obstruction. Such foreign bodies are removed under bronchoscopy in most patients. In some patients, however, the cardiopulmonary condition becomes unstable to undergo ventilating bronchoscopy under general anesthesia to remove the foreign body. In these conditions, extracorporeal membrane oxygenation (ECMO) can be adopted for cardiopulmonary support to stabilize the patient while removing the foreign body. ECMO supports tissue oxygenation and has been shown to improve survival of patients with adult respiratory distress syndrome. ECMO allows lungs to reserve their functions and decreases further lung injuries. The authors report one case of extensive tracheal inflammatory crust removed by ventilating bronchoscopy under tracheostomy and ECMO.

Keyword

Extracorporeal membrane oxygenation; Inhalation burn; Tracheostomy; Ventilating bronchoscopy

MeSH Terms

Airway Obstruction
Anesthesia, General
Bronchoscopy*
Burns, Inhalation
Extracorporeal Membrane Oxygenation*
Foreign Bodies
Humans
Inhalation*
Lung
Lung Injury
Oxygen
Respiratory Distress Syndrome, Adult
Tracheostomy*
Oxygen