Difficult Airway Management with Awake Fiberoptic Intubation and Cross Table Ventilation in a Case of Acquired TEF with Severe Subglottic Stenosis
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Abstract
We report a case of 30-year male who presented with Acquired Tracheoesophageal Fistula with subglottic stenosis and Aspiration Pneumonitis. Patient was managed with Feeding Jejunostomy, Tracheoesophageal Fistula repair and Tracheoplasty, after which patient recovered well. Difficult airway was managed by Awake Fiberoptic Intubation and cross-table ventilation through flexometallic tube intraoperatively during TEF repair.
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[6] Marulli G, Loizzi M, Cardillo G, Battistella L, De Palma A, Ialongo P, et al., Early and late outcome after surgical treatment of acquired non-malignant tracheo-oesophageal fistulae. Eur J Cardiothorac Surg. 2013; 43(6):e155-61.
[7] Swami GA, Punpale A, Samudre SS, Asawa GR. A rare case of acquired tracheoesophageal fistula in adult. Int Surg J. 2021; 8:2796-8.
[8] Elser T, Frederick A, Penn E, Bolton W, Stephenson J, Ben-Or S. Benign tracheal esophageal fistula. Operative Techniques in Thoracic and Cardiovascular Surgery. 2020; 25(1):27-41.
[2] Santosham R. Management of acquired benign tracheoesophageal fistulae. Thorac Surg Clin. 2018; 28: 385–392.
[3] Diddee R, Shaw IH. Acquired tracheo-oesophageal fistula in adults. Contin Educ Anaesth Crit Care Pain. 2006; 6: 105–108.
[4] Paraschiv M. Tracheoesophageal fistula- a complication of prolonged tracheal intubation. J Med Life. 2014; 7(4):516-521.
[5] Kim HS, Khemasuwan D, Diaz-Mendoza J, Mehta AC. Management of tracheo-oesophageal fistula in adults. Eur Respir Rev. 2020; 29(158):200094.
[6] Marulli G, Loizzi M, Cardillo G, Battistella L, De Palma A, Ialongo P, et al., Early and late outcome after surgical treatment of acquired non-malignant tracheo-oesophageal fistulae. Eur J Cardiothorac Surg. 2013; 43(6):e155-61.
[7] Swami GA, Punpale A, Samudre SS, Asawa GR. A rare case of acquired tracheoesophageal fistula in adult. Int Surg J. 2021; 8:2796-8.
[8] Elser T, Frederick A, Penn E, Bolton W, Stephenson J, Ben-Or S. Benign tracheal esophageal fistula. Operative Techniques in Thoracic and Cardiovascular Surgery. 2020; 25(1):27-41.
| Files | ||
| Issue | Vol 10 No 2 (2024): Spring |
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| Section | Case Report(s) | |
| DOI | https://doi.org/10.18502/aacc.v10i2.15071 | |
| Keywords | ||
| Acquired Tracheoesophageal Fistula Awake Fiberoptic intubation. Cross - table ventilation | ||
| Rights and permissions | |
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Mehta S, Despande J, Nirwan P, Chopra D. Difficult Airway Management with Awake Fiberoptic Intubation and Cross Table Ventilation in a Case of Acquired TEF with Severe Subglottic Stenosis. Arch Anesth & Crit Care. 2023;10(2):194-197.
