ArticleCureus2026
Anesthetic Management of Perioperative Extracorporeal Membrane Oxygenation (ECMO) for Thoracoscopic Bullectomy in a Single-Lung Patient: A Case Report.
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Thoracic surgery in patients with severely limited pulmonary reserve may be unsafe or infeasible with conventional one-lung ventilation. In patients with previous pneumonectomy, surgical exclusion of the only functioning lung abolishes native ventilation, making conventional lung isolation impossible. Venovenous extracorporeal membrane oxygenation (VV-ECMO) may provide temporary respiratory support in carefully selected patients by maintaining oxygenation and carbon dioxide removal while allowing optimal surgical exposure. We report the case of a 79-year-old man with single-lung physiology following left pneumonectomy who presented with recurrent right pneumothorax and underwent uniportal video-assisted thoracoscopic surgery (VATS) bullectomy supported by perioperative VV-ECMO. Peripheral VV-ECMO was established using bilateral femoral venous cannulation, permitting alternating periods of controlled apnea and protective mechanical ventilation while maintaining adequate gas exchange. Following surgery, ECMO support was electively continued during the early postoperative period because of the patient's severely limited respiratory reserve and was successfully weaned 36 hours after surgery. The postoperative course was complicated by bilateral femoral deep venous thrombosis after decannulation, requiring therapeutic anticoagulation. This case illustrates that perioperative VV-ECMO may represent a feasible strategy for carefully selected high-risk thoracic surgical patients in whom conventional lung isolation is not possible. It also highlights the importance of meticulous multidisciplinary planning, individualized anticoagulation strategies, and routine surveillance for cannula-related thrombotic complications.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.