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Canadian Journal of Anesthesia/Journal canadien d'anesthésie
Published in: Canadian Journal of Anesthesia/Journal canadien d'anesthésie 9/2010

01-09-2010 | Correspondence

Emergency airway management of tracheo-innominate fistulas in the pediatric population

Authors: Jay B. Tuchman, MD, M. Concetta Lupa, MD, Edmund H. Jooste, MB, ChB

Published in: Canadian Journal of Anesthesia/Journal canadien d'anesthésie | Issue 9/2010

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Excerpt

Tracheo-innominate fistula (TIF) is a rare but well recognized complication of tracheostomy placement, and it is universally fatal in the absence of surgical management. Adult algorithms for TIF management do not address the unique dilemmas that exist in the pediatric population with respect to uncuffed tracheostomy tubes (TT). We present a case that highlights the need to modify the adult algorithm when applying it in children. Parental informed consent has been obtained for publication of the following case. …
Literature
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Joshi AS, Tanna N, Elmaraghy CA, et al. Nonsurgical treatment of tracheoinnominate fistula in the pediatric population. Arch Otolaryngol Head Neck Surg 2007; 133: 294-6.CrossRefPubMed
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Kapural L, Sprung J, Gluncic I, et al. Tracheo-innominate artery fistula after tracheostomy. Anesth Analg 1999; 88: 777-80.CrossRefPubMed
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Jones JW, Reynolds M, Hewitt RL, Drapanas T. Tracheo-innominate artery erosion: successful surgical management of a devastating complication. Ann Surg 1976; 184: 194-204.CrossRefPubMed
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Metadata
Title
Emergency airway management of tracheo-innominate fistulas in the pediatric population
Authors
Jay B. Tuchman, MD
M. Concetta Lupa, MD
Edmund H. Jooste, MB, ChB
Publication date
01-09-2010
Publisher
Springer-Verlag
Published in
Canadian Journal of Anesthesia/Journal canadien d'anesthésie / Issue 9/2010
Print ISSN: 0832-610X
Electronic ISSN: 1496-8975
DOI
https://doi.org/10.1007/s12630-010-9342-0

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