{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T03:02:24Z","timestamp":1767841344856,"version":"3.49.0"},"reference-count":15,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,1,23]],"date-time":"2024-01-23T00:00:00Z","timestamp":1705968000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,1,23]],"date-time":"2024-01-23T00:00:00Z","timestamp":1705968000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Cardiothorac Surg"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Emergent airway occurrences pose a significant threat to patient life. Extracorporeal membrane oxygenation (ECMO) has been proven to be an effective method for managing emergent airways.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>A retrospective analysis was conducted on all patients receiving ECMO as an adjunct for emergent airway management from January 2018 to December 2022 at the People\u2019s Hospital of Zhongshan City. We collected the basic information of the patients, their blood gas data before and after ECMO, the related parameters of ECMO, and the outcome and then analyzed and summarized these data.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Six patients, with an average age of 51.0(28\u201366) years, received veno-venous (VV)- ECMO as an adjunct due to emergent airway issues. The average ECMO support duration was 30.5(11\u201348) hours. All six patients were successfully weaned off ECMO support, with five (83.3%) being successfully discharged after a hospital stay of 15.5(7\u201355) days. All six patients underwent VV-ECMO through femoral-internal jugular vein cannulation. Among these, five patients, whose airway obstruction was due to hemorrhage, underwent a non-anticoagulant ECMO strategy with no recorded thrombotic events.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>The rapid establishment of ECMO support is aided by the establishment of a standardized ECMO initiation protocol and the formation of a multidisciplinary rapid-response ECMO team, which is particularly crucial for emergent airway management. When airway obstruction results from hemorrhagic factors, the early adoption of a non-anticoagulant ECMO strategy can be considered when implementing VV-ECMO.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s13019-024-02482-8","type":"journal-article","created":{"date-parts":[[2024,1,23]],"date-time":"2024-01-23T07:02:36Z","timestamp":1705993356000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["The application of extracorporeal membrane oxygenation in emergent airway management - a single-center retrospective study"],"prefix":"10.1186","volume":"19","author":[{"given":"Zhijun","family":"Fan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simin","family":"Zhu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jinling","family":"Chen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Junlin","family":"Wen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Binfei","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaozu","family":"Liao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,1,23]]},"reference":[{"issue":"3","key":"2482_CR1","doi-asserted-by":"publisher","first-page":"519","DOI":"10.1016\/j.ccm.2022.05.006","volume":"43","author":"B Short","year":"2022","unstructured":"Short B, Burkart KM. Extracorporeal life support in respiratory failure. Clin Chest Med. 2022;43(3):519\u201328. https:\/\/doi.org\/10.1016\/j.ccm.2022.05.006.","journal-title":"Clin Chest Med"},{"key":"2482_CR2","doi-asserted-by":"publisher","unstructured":"Apfelbaum JL et al. 2022 American society of anesthesiologists practice guidelines for management of the difficult airway. Anesthesiol. 2022;136(1): p. 31\u201381. https:\/\/doi.org\/10.1097\/ALN.0000000000004002.","DOI":"10.1097\/ALN.0000000000004002"},{"issue":"4","key":"2482_CR3","doi-asserted-by":"publisher","first-page":"493","DOI":"10.1016\/j.jvsv.2018.11.014","volume":"7","author":"ES Xenos","year":"2019","unstructured":"Xenos ES, et al. The implementation of a pulmonary embolism response team in the management of intermediate- or high-risk pulmonary embolism. J Vasc Surg Venous Lymphat Disord. 2019;7(4):493\u2013500. https:\/\/doi.org\/10.1016\/j.jvsv.2018.11.014.","journal-title":"J Vasc Surg Venous Lymphat Disord"},{"key":"2482_CR4","doi-asserted-by":"publisher","unstructured":"Turek JW et al. Outcomes before and after implementation of a pediatric rapid-response extracorporeal membrane oxygenation program. Ann Thorac Surg. 2013;95(6):2140\u20136; discussion 2146\u20137. https:\/\/doi.org\/10.1016\/j.athoracsur.2013.01.050.","DOI":"10.1016\/j.athoracsur.2013.01.050"},{"issue":"5","key":"2482_CR5","doi-asserted-by":"publisher","first-page":"669","DOI":"10.1016\/j.jcrc.2013.05.020","volume":"28","author":"Y Hong","year":"2013","unstructured":"Hong Y, et al. Use of venovenous extracorporeal membrane oxygenation in central airway obstruction to facilitate interventions leading to definitive airway security. J Crit Care. 2013;28(5):669\u201374. https:\/\/doi.org\/10.1016\/j.jcrc.2013.05.020.","journal-title":"J Crit Care"},{"issue":"4","key":"2482_CR6","first-page":"273","volume":"12","author":"T Holliday","year":"2010","unstructured":"Holliday T, Jackson A. Emergency use of extracorporeal membrane oxygenation for a foreign body obstructing the airway. Crit Care Resusc. 2010;12(4):273\u20135.","journal-title":"Crit Care Resusc"},{"issue":"4","key":"2482_CR7","doi-asserted-by":"publisher","first-page":"646","DOI":"10.4187\/respcare","volume":"57","author":"DC Willms","year":"2012","unstructured":"Willms DC, et al. Emergency bedside extracorporeal membrane oxygenation for rescue of acute tracheal obstruction. Respir Care. 2012;57(4):646\u20139. https:\/\/doi.org\/10.4187\/respcare.","journal-title":"Respir Care"},{"issue":"9","key":"2482_CR8","doi-asserted-by":"publisher","first-page":"1219","DOI":"10.1016\/j.resuscitation.2014.06.022","volume":"85","author":"CH Wang","year":"2014","unstructured":"Wang CH, et al. Improved outcome of extracorporeal cardiopulmonary resuscitation for out-of-hospital cardiac arrest\u2013a comparison with that for extracorporeal rescue for in-hospital cardiac arrest. Resuscitation. 2014;85(9):1219\u201324. https:\/\/doi.org\/10.1016\/j.resuscitation.2014.06.022.","journal-title":"Resuscitation"},{"issue":"1","key":"2482_CR9","doi-asserted-by":"publisher","first-page":"95","DOI":"10.1186\/s13049-017-0440-7","volume":"25","author":"T Yukawa","year":"2017","unstructured":"Yukawa T, et al. Neurological outcomes and duration from cardiac arrest to the initiation of extracorporeal membrane oxygenation in patients with out-of-hospital cardiac arrest: a retrospective study. Scand J Trauma Resusc Emerg Med. 2017;25(1):95. https:\/\/doi.org\/10.1186\/s13049-017-0440-7.","journal-title":"Scand J Trauma Resusc Emerg Med"},{"issue":"1","key":"2482_CR10","doi-asserted-by":"publisher","first-page":"38","DOI":"10.1186\/s13054-021-03463-2","volume":"25","author":"B Friedrichson","year":"2021","unstructured":"Friedrichson B, et al. Insight into ECMO, mortality and ARDS: a nationwide analysis of 45,647 ECMO runs. Crit Care. 2021;25(1):38. https:\/\/doi.org\/10.1186\/s13054-021-03463-2.","journal-title":"Crit Care"},{"issue":"3","key":"2482_CR11","doi-asserted-by":"publisher","first-page":"869","DOI":"10.1053\/j.jvca.2016.10.015","volume":"31","author":"H Buscher","year":"2017","unstructured":"Buscher H, et al. Blood and anticoagulation management in extracorporeal membrane oxygenation for surgical and nonsurgical patients: a single-center retrospective review. J Cardiothorac Vasc Anesth. 2017;31(3):869\u201375. https:\/\/doi.org\/10.1053\/j.jvca.2016.10.015.","journal-title":"J Cardiothorac Vasc Anesth"},{"key":"2482_CR12","doi-asserted-by":"publisher","first-page":"997990","DOI":"10.3389\/fcvm.2022.997990","volume":"9","author":"D Ryan","year":"2022","unstructured":"Ryan D, et al. Massive hemoptysis bridged with VV ECMO: a case report. Front Cardiovasc Med. 2022;9:997990. https:\/\/doi.org\/10.3389\/fcvm.2022.997990.","journal-title":"Front Cardiovasc Med"},{"issue":"5","key":"2482_CR13","doi-asserted-by":"publisher","first-page":"1458","DOI":"10.1016\/j.athoracsur.2019.08.040","volume":"109","author":"KL Wood","year":"2020","unstructured":"Wood KL, et al. Venoarterial-extracorporeal membrane oxygenation without routine systemic anticoagulation decreases adverse events. Ann Thorac Surg. 2020;109(5):1458\u201366. https:\/\/doi.org\/10.1016\/j.athoracsur.2019.08.040.","journal-title":"Ann Thorac Surg"},{"issue":"2","key":"2482_CR14","doi-asserted-by":"publisher","first-page":"213","DOI":"10.1007\/s00134-021-06593-x","volume":"48","author":"JI Nunez","year":"2022","unstructured":"Nunez JI, et al. Bleeding and thrombotic events in adults supported with venovenous extracorporeal membrane oxygenation: an ELSO registry analysis. Intensive Care Med. 2022;48(2):213\u201324. https:\/\/doi.org\/10.1007\/s00134-021-06593-x.","journal-title":"Intensive Care Med"},{"issue":"1","key":"2482_CR15","doi-asserted-by":"publisher","first-page":"47","DOI":"10.1097\/MAT.0b013e3181901ea5","volume":"55","author":"ME Mikkelsen","year":"2009","unstructured":"Mikkelsen ME, et al. Outcomes using extracorporeal life support for adult respiratory failure due to status asthmaticus. ASAIO J. 2009;55(1):47\u201352. https:\/\/doi.org\/10.1097\/MAT.0b013e3181901ea5.","journal-title":"ASAIO J"}],"container-title":["Journal of Cardiothoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13019-024-02482-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13019-024-02482-8\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13019-024-02482-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,23]],"date-time":"2024-01-23T07:10:47Z","timestamp":1705993847000},"score":1,"resource":{"primary":{"URL":"https:\/\/cardiothoracicsurgery.biomedcentral.com\/articles\/10.1186\/s13019-024-02482-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,23]]},"references-count":15,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["2482"],"URL":"https:\/\/doi.org\/10.1186\/s13019-024-02482-8","relation":{},"ISSN":["1749-8090"],"issn-type":[{"value":"1749-8090","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1,23]]},"assertion":[{"value":"2 July 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 January 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"23 January 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was approved by the Ethics Committee of Zhongshan People\u2019s Hospital. <i>Written informed consent was obtained from the patient in this study for the publication of any potentially identifiable images and data included in this article<\/i>.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"No artificial intelligence writing was applied.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declaration of generative AI in scientific writing"}},{"value":"AI and AI-assisted technologies were not used.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Disclosure instructions"}}],"article-number":"20"}}