Cardiopulmonary bypass in anesthetic management of resection. Its use for severe tracheal stenosis
D. L. Bricker, T. M. Parker and M. L. Dalton Jr
On initial evaluation, two patients were found to be in severe respiratory
distress from tracheal obstruction. One patient had late obstruction after
a crushing injury to the chest, whereas the other had subtotal tracheal
obstruction from a carcinoid adenoma. In each case, the state of the
patient seemed to preclude safe anesthetic induction with an endotracheal
tube as the sole means of oxygenating the patient. Partial cardiopulmonary
bypass provided an adjunct to ensure adequate oxygenation for tracheal
resection. Consideration for the use of this technique is recommended in
similar circumstances.
