Utilization of V-VECMO as a Backup for Patients with Large Multinodular Goiters Causing Extreme Tracheal Compression

Multinodular goiter (MNG) can be a challenging pathology owing to its large size and possible significant airway deviation and compression. To secure the airway in such cases, awake fiberoptic intubation is recommended, but limitations include patient distress and varying success owing to operator skill. Therefore, veno-venous (V-V) Extracorporeal membrane oxygenation (ECMO) can be used as a backup for patients with severe tracheal stenosis due to a large MNG.