RESUMEN
Extracorporeal membrane oxygenation (ECMO) is used as a rescue therapy in severe ARDS. We propose its use as a bridge therapy for surgical repair of complex tracheobronchial fistulas. We report the case of a 56-year-old man with tracheoesophageal fistula after esophagectomy. The defect in the left main bronchus was repaired with a vascularized plasty of the dorsal muscle but the patient could not be extubated immediately. As a result, the plasty migrated and required emergency surgery, this time under ECMO support, to ensure full ventilatory support and protection of the plasty until the sutures had scarred
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Asunto(s)
Humanos , Masculino , Persona de Mediana Edad , Fístula Bronquial/etiología , Fístula Esofágica/etiología , Fístula Bronquial/terapia , Fístula Esofágica/terapia , Oxigenación por Membrana Extracorpórea , Esofagectomía/efectos adversos , Resultado del TratamientoRESUMEN
La anestesia general es uno de los grandes avances de la medicina y permite realizar cirugías cada vez más complejas de forma segura. Pero no está exenta de riesgos. La neurotoxicidades uno de estos riesgos. Este trabajo es una revisión de los últimos avances en este tema, centrándonos en las edades extremas de la vida donde la vulnerabilidad sobre el sistema nervioso centrales mayor (AU)
General anesthesia is one of the greatest achievements in medicine that permits to make complex surgeries on a secure and safe way, although it has its own risks. Neurotoxicity is one of them. This article is a revision of the last achievements on this matter, focusing on the extreme ages of life where vulnerability on the central nervous system is higher (AU)
