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Use of Extracorporeal Membrane Oxygenation to Facilitate Removal of a Tracheal Foreign Body in an Adult.

Abstract The use of extracorporeal membrane oxygenation (ECMO) has been described to facilitate removal a laryngeal and/or tracheal and foreign body that resulted from aspiration. Most of these descriptions have been acute cases in the pediatric population. We present the case of a foreign body, cervical screw, in an adult female that resulted from dislodgment and migration into the sub-glottic space through the membraneous trachea. Atraumatic intubation was not possible, therefore a supra-glottic airway (SGA) was placed after induction, venous - venous (v-v) ECMO was used to oxygenate the patient and the foreign body was removed through the trachea.