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Increased airway pressure following endotracheal intubation complicated the administration of mechanical ventilation. CT of the chest showed widespread consolidation and tracheal stenosis 3\u2009cm above the carina distal to the tip of the endotracheal tube. The diagnosis was tracheal stenosis with type A influenza infection. The patient was transferred to another hospital for initiating venovenous extracorporeal membrane oxygenation (VV-ECMO). Intubation with a 6.0\u2009mm spiral tube was successful after intraluminal balloon dilatation of the tracheal stenosis. The patient was admitted to the intensive care unit and was weaned off VV-ECMO on day 3 due to improvement in respiratory status. A tracheotomy was performed on day 28 and the tracheal tube was removed on day 41.<\/jats:p>","DOI":"10.1136\/bcr-2020-237282","type":"journal-article","created":{"date-parts":[[2021,3,10]],"date-time":"2021-03-10T11:56:22Z","timestamp":1615377382000},"page":"e237282","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Central airway obstruction treated with initial support by venovenous extracorporeal membrane oxygenation"],"prefix":"10.1136","volume":"14","author":[{"given":"Kasumi","family":"Shirasaki","sequence":"first","affiliation":[{"name":"Department of emergency and critical care medicine, St Luke's International University, Chuo-ku, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toru","family":"Hifumi","sequence":"additional","affiliation":[{"name":"Critical Care Medicine and Trauma, St Luke's International University, Chuo-ku, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takashi","family":"Kato","sequence":"additional","affiliation":[{"name":"Department of general surgery, Okinawa Prefectural Chubu Hospital, Uruma, Okinawa, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shinichi","family":"Ishimatsu","sequence":"additional","affiliation":[{"name":"Department of emergency and critical care medicine, St Luke's International University, Chuo-ku, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,3,10]]},"reference":[{"key":"2025082702581580000_14.3.e237282.1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.200210-1181SO"},{"key":"2025082702581580000_14.3.e237282.2","doi-asserted-by":"crossref","first-page":"76","DOI":"10.21037\/amj.2018.07.04","article-title":"Management of benign central airway obstruction","volume":"3","author":"Holden","year":"2018","journal-title":"AME Med J"},{"key":"2025082702581580000_14.3.e237282.3","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aev371"},{"key":"2025082702581580000_14.3.e237282.4","doi-asserted-by":"crossref","first-page":"2599","DOI":"10.21037\/jtd.2017.06.88","article-title":"Respiratory support with venovenous extracorporeal membrane oxygenation during stent placement for the palliation of critical airway obstruction: case series analysis","volume":"9","author":"Park","year":"2017","journal-title":"J Thorac Dis"},{"key":"2025082702581580000_14.3.e237282.5","doi-asserted-by":"crossref","first-page":"701","DOI":"10.1007\/s00383-018-4291-8","article-title":"Congenital tracheal malformations","volume":"34","author":"Varela","year":"2018","journal-title":"Pediatr Surg Int"},{"key":"2025082702581580000_14.3.e237282.6","doi-asserted-by":"publisher","DOI":"10.1093\/icvts\/ivs018"},{"key":"2025082702581580000_14.3.e237282.7","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3468(91)90843-I"},{"key":"2025082702581580000_14.3.e237282.8","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3468(91)90897-3"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-237282","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T09:58:25Z","timestamp":1756288705000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-237282"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3]]},"references-count":8,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2021,3,10]]},"published-print":{"date-parts":[[2021,3]]}},"alternative-id":["10.1136\/bcr-2020-237282"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-237282","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2021,3]]}}}