정맥-정맥 체외막산소공급 보조 하에 시행한 기도 수술의 마취 3례

• Published in: Korean journal of anesthesiology Vol. 57; no. 4; pp. 522 - 527
• Main Authors: 이용기, Yong Ki Lee, 박상헌, Sang Hyun Park, 황진영, Jin Young Hwang, 류춘근, Choon Gun Ryu, 김진희, Jin Hee Kim, 한성희, Sung Hee Han
• Format: Journal Article
• Language: Korean
• Published: 대한마취통증의학회 30.10.2009
• Subjects: Airway; Anesthesia; ECMO; Extracorporeal membrane oxygenation; 마취과학
• ISSN: 2005-6419; 2005-7563

The airway management for patients with critical airway problems continues to be a challenge to the anesthesiologist. In general cases, conventional ventilation techniques have been used successfully. These include fiberoptic bronchoscope guided intubation, supraglottic airway, endotracheal or endobronchial intubation at operative field, high frequency jet ventilation, etc. However, patients with near-fatal airway obstruction or severely depressed pulmonary function that is refractory to conventional ventilation methods also present. In these cases, cardiopulmonary bypass or extracorporeal membrane oxygenation (ECMO) can be used. Although these situations are uncommon indications for ECMO, ECMO can be a potential option for these life threatening conditions. Especially, venovenous (VV) ECMO can be used for pure pulmonary support. We describe three cases of airway surgery requiring ECMO. VV ECMO was established in all cases. ECMO provided adequate temporary pulmonary support and all patients weaned from ECMO successfully without any complication. (Korean J Anesthesiol 2009;57:522∼7)