title: Intraoperative Extracorporeal Carbon Dioxide Removal During Apneic Oxygenation with an EZ-Blocker in Tracheal Surgery.
abstract: Tracheal surgery requires continued innovation to manage the anesthetic during an open airway phase. A common approach is apneic oxygenation with continuous oxygen flow, but the lack of effective ventilation causes hypercapnia, with respiratory acidosis. We used extracorporeal carbon dioxide removal for intraoperative decapneization during apneic oxygenation in a 64-year-old woman who was scheduled for tracheal surgery because of tracheal stenosis caused by long-term intubation. Our findings demonstrate that even after 40 minutes of total apnea, using an EZ-blocker for oxygenation and external decapneization, hemodynamic and gas exchange variables never demonstrated any dangerous alterations.
authors.affiliation: From the Department of Anesthesia and Intensive Care, AORN dei Colli Vincenzo Monaldi Hospital, Naples, Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Rispoli
authors.forename: Moana Rossella
authors.initials: MR
authors.lastname: Nespoli
authors.forename: Dario Maria
authors.initials: DM
authors.lastname: Mattiacci
authors.forename: Marianna
authors.initials: M
authors.lastname: Esposito
authors.forename: Antonio
authors.initials: A
authors.lastname: Corcione
authors.forename: Salvatore
authors.initials: S
authors.lastname: Buono
mesh_terms: D001049:Apnea / Q000097:blood / Q000175:diagnosis; D001999:Bronchoscopy / Q000379:methods; D002245:Carbon Dioxide / Q000097:blood; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods*; D005260:Female; D006801:Humans; D008875:Middle Aged; D016343:Monitoring, Intraoperative / Q000379:methods*; D012121:Respiration, Artificial / Q000379:methods*; D014135:Tracheal Stenosis / Q000097:blood / Q000175:diagnosis / Q000601:surgery*
chemical_list: D002245:Carbon Dioxide