TY  - JOUR
SN  - 0267-6591 (Druck-Ausg.); 1477-111X (Online-Ausg.)
PB  - Sage Publications
N1  - Dieser Beitrag ist aufgrund einer (DFG-geförderten) Allianz bzw. Nationallizenz frei zugänglich. *** This publication is freely accessible due to an Alliance licence and a national licence (funded by the DFG, German Research Foundation) respectively.
CY  - London [u.a.]
AV  - public
ID  - heidok35614
SP  - 1256
IS  - 6
A1  - Buschulte, Katharina
A1  - Kahn, Nicolas
A1  - Schmidt, Werner
A1  - Reinhardt, Lars
TI  - Severe tracheal tear ? an alternative extracorporeal membrane oxygenation indication
JF  - Perfusion
UR  - https://doi.org/10.1177/02676591231175983
N2  - Introduction 
Conservative management is usually preferred for iatrogenic tracheal injuries. Venovenous extracorporeal membrane oxygenation (V-V ECMO) is mostly used in acute refractory hypoxemia, airway lesions are an alternative indication.
Case Report 
A 51-year-old female was transferred with a large tracheal tear after plastic tracheotomy. Due to a critical ventilation situation with hypercapnia, conservative management was set and V-V ECMO was installed. With optimized tube positioning, minimal ventilation and gas transfer via V-V ECMO, a complete healing of the injury could be achieved.
Discussion 
Fast diagnosis of tracheal injuries is essential; transfer to a specialized centre should be considered. In our case, organ support via ECMO was necessary due to a difficult ventilation situation with persisting hypercapnia. Thus, reduction in ventilation pressures with reduction of possible leakage and healing of the tracheal tear could be achieved.
Conclusion 
Management of tracheal tears is complex; in severe cases special therapy concepts such as the use of V-V ECMO may become necessary.
EP  - 1258
VL  - 39
Y1  - 2024///
ER  -