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Elective extra corporeal membrane oxygenation for high-risk rigid bronchoscopy
  1. Emmanuel Martinod1,2,
  2. Ana-Maria Portela1,
  3. Yurdagül Uzunhan2,3,
  4. Olivia Freynet3,
  5. Salam Abou Taam4,
  6. Florent Vinas5,
  7. Stephane Dominique6,
  8. Yacine Tandjaoui-Lambiotte7,
  9. Manuel Otero-Lopez8,
  10. Elie Zogheib8,
  11. Guillaume Lebreton9,10
  1. 1Thoracic and Vascular Surgery, Assistance Publique - Hôpitaux de Paris, Bobigny, France
  2. 2Université Sorbonne Paris Nord UFR de Santé Médecine Biologie Humaine, Bobigny, France
  3. 3Pulmonology, Assistance Publique - Hôpitaux de Paris, Bobigny, France
  4. 4Thoracic and Vascular Surgery, Hôpital Privé Claude Galien, Quincy-sous-Senart, France
  5. 5Pulmonology, Centre Hospitalier Intercommunal de Créteil, Creteil, France
  6. 6Pulmonology, Thoracic Oncology, and Respiratory Intensive Care & CIC-CRB 1404, Centre Hospitalier Universitaire de Rouen, Rouen, France
  7. 7Intensive Care Medicine, Assistance Publique Hôpitaux de Paris, Bobigny, France
  8. 8Anesthesiology, Assistance Publique Hôpitaux de Paris, Bobigny, France
  9. 9Cardiovascular Surgery, Assistance Publique Hôpitaux de Paris, Paris, France
  10. 10Sorbonne Université, Paris, France
  1. Correspondence to Professor Emmanuel Martinod, Assistance Publique - Hopitaux de Paris, Paris 75004, France; emmanuel.martinod{at}aphp.fr

Abstract

The use of extracorporeal membrane oxygenation for high-risk rigid bronchoscopy has been reported in few urgent cases. We report our experience with this approach which was planned electively in five cases on 202 procedures (2.5%). It was proposed because of the potential inability to ventilate the lungs using conventional techniques due to extensive tracheobronchial lesions or the risk of major intraoperative bleeding related to disease characteristics. There were no intraoperative complications and postoperative course was favourable in all patients. With a maximum follow-up of 3 years and 7 months, all patients are alive with no tracheostomy despite major morbidities.

  • bronchoscopy
  • critical care
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Footnotes

  • Deceased 3

  • Contributors All authors defined the scope of the paper, conducted the literature search, wrote and revised the manuscript.

  • Funding Assistance Publique - Hôpitaux de Paris, France.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Ethics approval Our Institutional Review Board approved the retrospective study (ref. CLEA-2019-94).

  • Provenance and peer review Not commissioned; externally peer reviewed.

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