Abstract |
We report anesthetic management using veno-veno bypass (V-V bypass) for emergent tracheostomy in a patient with acute epiglottitis. A 72-year-old woman complained of dyspnea due to acute epiglottitis, and emergent tracheostomy was planned for her. Since physical and optical fiberscopic examinations indicated a high risk of airway collapse during anesthetic induction, we planned to do tracheostomy under V-V bypass in order to maintain oxygenation. V-V bypass was established using the right femoral and jugular veins in an awake condition. After starting V-V bypass, tracheostomy was performed under intravenous propofol anesthesia. During surgery, bispectral index was maintained below 60. Surgery was carried out with ease and uneventfully. The patient had no complications due to V-V bypass postoperatively.
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Authors | Atsushi Sawada, Tomoyuki Kawamata, Akiyoshi Namiki |
Journal | Masui. The Japanese journal of anesthesiology
(Masui)
Vol. 58
Issue 8
Pg. 1004-6
(Aug 2009)
ISSN: 0021-4892 [Print] Japan |
PMID | 19702219
(Publication Type: Case Reports, English Abstract, Journal Article)
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Topics |
- Acute Disease
- Aged
- Anesthesia, Intravenous
- Emergencies
- Epiglottitis
(surgery)
- Extracorporeal Circulation
(methods)
- Female
- Femoral Vein
- Humans
- Jugular Veins
- Tracheostomy
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