PMID: 8604884Apr 1, 1996Paper

Total tracheobronchial thrombosis due to extracorporeal membrane oxygenation

The Annals of Otology, Rhinology, and Laryngology
B Duff, B Gruber

Abstract

Extracorporeal membrane oxygenation (ECMO) is widely used for neonatal respiratory failure that is potentially reversible but unresponsive to conventional management. Because of the anticoagulation necessary for maintaining the extracorporeal circuit, hemorrhagic complications occur in up to one third of patients. We present an unusual and previously unreported complication of ECMO, total tracheobronchial thrombosis. The thrombus filled the entire lower respiratory tract and resulted in airway obstruction and inability to ventilate. The airway was successfully managed with repeated bronchoscopic pulmonary toilet. Our experience and review of the literature provide a summary of ECMO-related complications likely to present to the otolaryngologist, and management strategies are discussed.

References

Nov 1, 1990·Southern Medical Journal·J W WatsonR Clark
Jun 1, 1989·Critical Care Medicine·M KeszlerM G Moront
Nov 1, 1989·Journal of Pediatric Surgery·R G WeissF C Ryckman
Jan 1, 1987·The Annals of Otology, Rhinology, and Laryngology·J Werkhaven, L D Holinger

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Citations

Nov 24, 2005·The American Journal of Forensic Medicine and Pathology·Kim A Collins, S Erin Presnell
Oct 4, 2011·Critical Care Nurse·Christopher BibroChristine S Schulman
Oct 24, 2020·American Journal of Respiratory and Critical Care Medicine·John J BrewingtonErik B Hysinger

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