Resumen
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.
Título traducido de la contribución | Congenital adult tracheoesophageal fistula repair with transthoracic ventilation: a case report |
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Idioma original | French |
Publicación | Canadian Journal of Anaesthesia |
DOI | |
Estado | Accepted/In press - 2022 |
Nota bibliográfica
Publisher Copyright:© 2022, Canadian Anesthesiologists' Society.
ASJC Scopus Subject Areas
- Anesthesiology and Pain Medicine
PubMed: MeSH publication types
- Journal Article
- Case Reports