Réparation d’une fistule trachéo-oesophagienne congénitale chez l’adulte avec ventilation transthoracique: une présentation de cas

Olga L. Bednarek; Brendan E. Morgan; Andrei Khorovets; Madelaine M. Plourde; Daniel G. French

doi:10.1007/s12630-022-02261-w

Réparation d’une fistule trachéo-oesophagienne congénitale chez l’adulte avec ventilation transthoracique: une présentation de cas

Translated title of the contribution: Congenital adult tracheoesophageal fistula repair with transthoracic ventilation: a case report

Olga L. Bednarek, Brendan E. Morgan, Andrei Khorovets, Madelaine M. Plourde, Daniel G. French

Medicine

Research output: Contribution to journal › Article › peer-review

3 Citations (Scopus)

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.

Translated title of the contribution	Congenital adult tracheoesophageal fistula repair with transthoracic ventilation: a case report
Original language	French
Journal	Canadian Journal of Anaesthesia
DOIs	https://doi.org/10.1007/s12630-022-02261-w
Publication status	Accepted/In press - 2022

Bibliographical note

Publisher Copyright:
© 2022, Canadian Anesthesiologists' Society.

ASJC Scopus Subject Areas

Anesthesiology and Pain Medicine

PubMed: MeSH publication types

Journal Article
Case Reports

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title = "R{\'e}paration d{\textquoteright}une fistule trach{\'e}o-oesophagienne cong{\'e}nitale chez l{\textquoteright}adulte avec ventilation transthoracique: une pr{\'e}sentation de cas",

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.",

author = "Bednarek, {Olga L.} and Morgan, {Brendan E.} and Andrei Khorovets and Plourde, {Madelaine M.} and French, {Daniel G.}",

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doi = "10.1007/s12630-022-02261-w",

language = "Fran{\c c}ais",

journal = "Canadian Journal of Anaesthesia",

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T1 - Réparation d’une fistule trachéo-oesophagienne congénitale chez l’adulte avec ventilation transthoracique

T2 - une présentation de cas

AU - Bednarek, Olga L.

AU - Morgan, Brendan E.

AU - Khorovets, Andrei

AU - Plourde, Madelaine M.

AU - French, Daniel G.

PY - 2022

Y1 - 2022

N2 - 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.

AB - 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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Réparation d’une fistule trachéo-oesophagienne congénitale chez l’adulte avec ventilation transthoracique: une présentation de cas

Abstract

Bibliographical note

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PubMed: MeSH publication types

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