Abstract
A case is presented of a female with respiratory distress who was initially treated as having asthma. Her chest x-ray was normal but tracheal tomograms revealed a tracheal tumour almost completely occluding the tracheal lumen. The impending tracheal occlusion was managed with femoral-femoral cardiopulmonary bypass instituted under local anaesthesia prior to induction of anaesthesia and diagnostic bronchoscopy and airway establishment with tracheal intubation. Other indications for the use of cardiopulmonary bypass prior to the induction of anaesthesia are reviewed.
Résumé
On prisénte le cas d’une patiente adulte souffrant de détresse respiratoire qui était initialement traitée pour asthme. La radiographie de la cage thoracique était normale mais la tomographie trachéale décela une tumeur trachéale obstruant presque complètement le lumen trachéal. A cause de l’occlusion trachéale imminente, on fit un pontage cardio-pulmonaire (femoral-fémoral) sous anesthdsie locale avant l’induction de I’anesthésie, de la bronchoscopie diagnostique et du rétablissement du conduit aérien avec léintubation trachéale. D’autres informations sur l’usage du pontage cardio-pulmonaire avant l’induction de l’anesthésie sont discutées.
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Jensen, V., Milne, B. & Salerno, T. Femoral-femoral cardiopulmonary bypass prior to induction of anaesthesia in the management of upper airway obstruction. Can Anaesth Soc J 30, 270–272 (1983). https://doi.org/10.1007/BF03013806
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DOI: https://doi.org/10.1007/BF03013806