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Canadian Journal of Anesthesia/Journal canadien d'anesthésie
Published in: Canadian Journal of Anesthesia/Journal canadien d'anesthésie 9/2022

25-04-2022 | Bronchoscopy | Case Reports / Case Series

Congenital adult tracheoesophageal fistula repair with transthoracic ventilation: a case report

Authors: Olga L. Bednarek, MD, Brendan E. Morgan, MD, Andrei Khorovets, MD, FRCPC, Madelaine M. Plourde, MD, FRCSC, Daniel G. French, MD, FRCSC

Published in: Canadian Journal of Anesthesia/Journal canadien d'anesthésie | Issue 9/2022

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Abstract

Purpose

To describe our experience using transthoracic ventilation to facilitate oral endotracheal tube (ETT) exchange after accidental ETT cuff rupture during a case of congenital tracheoesophageal fistula (TEF) repair.

Clinical features

A 53-yr-old male underwent a congenital H-type TEF repair via right-sided thoracotomy with a single-lumen ETT and a bronchial blocker. A large air leak developed after ETT cuff rupture during fistula closure. Transthoracic intubation via tracheotomy was performed to continue ventilation during an oral ETT exchange in the lateral position. No hypoxia or hemodynamic compromise occurred.

Conclusions

Airway device choice for TEF repair must be carefully considered in conjunction with the surgical team. In the present case of accidental ETT cuff rupture, rescue transthoracic ventilation safely facilitated oral ETT exchange.
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Metadata
Title
Congenital adult tracheoesophageal fistula repair with transthoracic ventilation: a case report
Authors
Olga L. Bednarek, MD
Brendan E. Morgan, MD
Andrei Khorovets, MD, FRCPC
Madelaine M. Plourde, MD, FRCSC
Daniel G. French, MD, FRCSC
Publication date
25-04-2022
Publisher
Springer International Publishing
Published in
Canadian Journal of Anesthesia/Journal canadien d'anesthésie / Issue 9/2022
Print ISSN: 0832-610X
Electronic ISSN: 1496-8975
DOI
https://doi.org/10.1007/s12630-022-02261-w

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