title: Management of complicated airway foreign body aspiration using extracorporeal membrane oxygenation (ECMO).
abstract: OBJECTIVE
  Successful removal of an airway foreign body can be very challenging. We present three patients with airway foreign body aspiration successfully treated using extracorporeal membrane oxygenation (ECMO). Their clinical presentation and findings will be reviewed to determine when ECMO should be considered for treatment.
  
  
  METHODS
  Retrospective multi-institutional review of a case series of patients with airway foreign body who underwent successful treatment using ECMO.
  
  
  METHODS
  After institutional review board approval, the use of ECMO during airway foreign body procedures in children was reviewed from the pediatric research in otolaryngology (PRO) network. This network comprises of over 20 Children's hospitals to improve the health of and healthcare delivery to children and their families with otolaryngology conditions. Specific parameters were recorded for each patient.
  
  
  RESULTS
  Three children presented with airway foreign body and required ECMO for successful removal. Mean age was 18 months. Presenting symptoms included severe and worsening respiratory distress. Indications for ECMO included an inability to perform rigid bronchoscopy due to the child's unstable respiratory status and an airway foreign body lodged in the trachea that could not be removed without potential loss of airway support. All three children underwent successful removal of their airway foreign bodies. There were no complications from ECMO or bronchoscopy.
  
  
  CONCLUSIONS
  ECMO may be a useful adjunct in cases of life threatening airway foreign body aspiration.
authors.affiliation: Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, University of Utah, United States. Electronic address: pcapark@ihc.com.
authors.forename: Albert H
authors.initials: AH
authors.lastname: Park
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University School of Medicine, United States.
authors.forename: David E
authors.initials: DE
authors.lastname: Tunkel
authors.affiliation: Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, University of Utah, United States.
authors.forename: Erica
authors.initials: E
authors.lastname: Park
authors.affiliation: Division of Pediatric Surgery, Department of Surgery, University of Utah, United States.
authors.forename: Douglas
authors.initials: D
authors.lastname: Barnhart
authors.affiliation: Pediatric Anesthesia, Primary Children's Hospital, United States.
authors.forename: Edward
authors.initials: E
authors.lastname: Liu
authors.affiliation: Division of Pediatric Surgery, Department of Surgery, University of Utah, United States.
authors.forename: Justin
authors.initials: J
authors.lastname: Lee
authors.affiliation: Division of Pediatric Surgery, Department of Surgery, University of Utah, United States.
authors.forename: Richard
authors.initials: R
authors.lastname: Black
mesh_terms: D001980:Bronchi; D001999:Bronchoscopy; D002675:Child, Preschool; D015199:Extracorporeal Membrane Oxygenation; D005260:Female; D005547:Foreign Bodies / Q000628:therapy*; D006801:Humans; D007223:Infant; D008297:Male; D012189:Retrospective Studies; D014132:Trachea
keywords: Airway foreign body; Extracorporeal membrane oxygenation