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Canadian Journal of Anesthesia, Vol 30, 270-272, Copyright © 1983 by Canadian Anesthesiologists' Society

Clinical Reports: Femoral-Femoral Cardiopulmonary Bypass Prior to Induction of Anaesthesia in the Management of Upper Airway Obstruction

V. JENSEN MD1, B. MILNE MD MSC FRCP(C)1, and T. SALERNO MD FRCS(C)1

1 Departments of Anaesthesia and Surgery, Queen's University, Kingston, Ontario

Address Correspondence to: Dr. B. Milne, Department of Anaesthesia, Kingston General Hospital, Kingston, Ontario K7L 2V7.

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.

Key Words: LUNG: trachea, tumor • VENTILATION: obstruction • CIRCULATION: cardiopulmonary bypass






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Copyright © 1983 by the Canadian Anesthesiologists' Society.