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      The impossible airway: a plan.

      Chest
      Airway Obstruction, etiology, Anesthesia, Intravenous, Cardiopulmonary Bypass, Female, Humans, Intubation, Intratracheal, Lymphoma, complications, surgery, Middle Aged, Thyroid Neoplasms, Thyroiditis, Autoimmune, Tracheotomy

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          Abstract

          A patient presented with near complete airway obstruction due to a massive tumor. Nonsurgical methods failed to secure the airway, and surgical approaches were considered unlikely to succeed in a timely fashion. Cardiopulmonary bypass via femoral-femoral cannulation with the use of local anesthesia and a portable unit, followed by IV anesthesia, allowed the surgeons to perform a controlled tracheotomy.

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