TY - JOUR
AR - SCR-2020-2-115
TI - Awake Thoracic Surgery with Extracorporeal Membrane Oxygenation
AU - Alexander, Kersten
AU - Jan, Spillner
AU - Sebastian, Kalverkamp
AU - Vasileios, Drosos
JO - Surgical Case Reports
PY - 2020
DA - Mon 16, Mar 2020
SN - 2613-5965
DO - http://dx.doi.org/10.31487/j.SCR.2020.02.15
UR - https://www.sciencerepository.org/awake-thoracic-surgery-with-extracorporeal_SCR-2020-2-115 
KW - Awake thoracic surgery, thoracoscopic surgery, extracorporeal membrane oxygenation, lung volume reduction surgery
AB - A 75-year old patient with a right sided secondary pneumothorax and prolonged air leak showed upper lobe predominant bullous emphysema. Due to the patients extremely reduced general condition neither an open approach nor a thoracoscopic approach seemed possible. Hence, we performed an awake lung volume reduction surgery with perioperative single site veno-venous extracorporeal membrane oxygenation. No heparin was administered. The extracorporeal membrane oxygenation (ECMO) could be weaned up to the second postoperative day. The further postoperative course was uneventful. This current case suggests that combining awake surgery with extracorporeal membrane oxygenation could be a future concept in extremely compromised patients.