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

Title: Awake ECMO for Mid-Tracheal Obstruction: When a Tracheostomy Isn't Enough.
Authors: Beiriger J; Department of Otolaryngology-Head and Neck Surgery University of Utah Salt Lake City Utah USA.; Grewal M; Department of Otolaryngology-Head and Neck Surgery University of Utah Salt Lake City Utah USA.; Bestourous D; Department of Otolaryngology-Head and Neck Surgery University of Utah Salt Lake City Utah USA.; Patel ND; Department of Otolaryngology-Head and Neck Surgery University of Utah Salt Lake City Utah USA.; Vigneswaran J; Department of Surgery Division of Cardiothoracic Surgery University of Utah Salt Lake City Utah USA.; Sharma V; Department of Surgery Division of Cardiothoracic Surgery University of Utah Salt Lake City Utah USA.; Mitzman B; Department of Surgery Division of Cardiothoracic Surgery University of Utah Salt Lake City Utah USA.; Chambers JH; Department of Internal Medicine, Division of Pulmonology University of Utah Salt Lake City Utah USA.; McCrary HC; Department of Otolaryngology-Head and Neck Surgery University of Utah Salt Lake City Utah USA.
Source: Clinical case reports [Clin Case Rep] 2026 Jan 28; Vol. 14 (2), pp. e71948. Date of Electronic Publication: 2026 Jan 28 (Print Publication: 2026).
Publication Type: Journal Article
Language: English
Journal Info: Publisher: John Wiley & Sons Country of Publication: England NLM ID: 101620385 Publication Model: eCollection Cited Medium: Print ISSN: 2050-0904 (Print) Linking ISSN: 20500904 NLM ISO Abbreviation: Clin Case Rep Subsets: PubMed not MEDLINE
Imprint Name(s): Original Publication: Chichester, UK : John Wiley & Sons
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.; (© 2026 The Author(s). Clinical Case Reports published by John Wiley & Sons Ltd.)
Competing Interests: The authors declare no conflicts of interest.
References: Chest. 2025 Jan;167(1):283-295. (PMID: 39029785); Ann Otol Rhinol Laryngol. 2022 Jan;131(1):78-85. (PMID: 33870720); Interact Cardiovasc Thorac Surg. 2005 Jun;4(3):175-9. (PMID: 17670386); Anesthesiology. 2022 Jan 1;136(1):31-81. (PMID: 34762729); Front Oncol. 2023 Mar 27;13:1098594. (PMID: 37051538)
Contributed Indexing: Keywords: adenoid cystic carcinoma; airway management; extracorporeal membrane oxygenation; tracheal obstruction; tracheal surgery
Entry Date(s): Date Created: 20260130 Date Completed: 20260130 Latest Revision: 20260201
Update Code: 20260201
PubMed Central ID: PMC12848583
DOI: 10.1002/ccr3.71948
PMID: 41614013
Database: MEDLINE

Journal Article