March 3, 2026SHILAP Revista de lepidopterología0 citationsOpen Access

Awake ECMO for Mid‐Tracheal Obstruction: When a Tracheostomy Isn't Enough

JBJacob Beiriger MGMaeher R. Grewal DBDaniel E. Bestourous

Key Points

Awake VV-ECMO provides effective airway control, potentially saving patients with severe tracheal obstruction.
Patients experienced near-complete tracheal obstruction, with airway management challenging due to intubation and tracheostomy risks.
Early multidisciplinary coordination facilitated interventions, including tumor debulking and stenting for airway clearance.
Findings highlight the need for innovative approaches in managing severe airway obstructions in clinical practice.

Abstract

Awake VV-ECMO can be a life-saving strategy for patients with near-complete tracheal obstruction where tracheostomy and intubation are not feasible. Early multidisciplinary coordination enables safe airway control, tumor debulking, and stenting, facilitating both immediate stabilization and long-term oncologic planning.

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