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- Chi Ho Chan, Elizabeth S J Tan, Kenny W T Loh, and Sharon G K Ong.
- From the Departments of Anesthesiology.
- A A Pract. 2020 Dec 17; 14 (14): e01362.
AbstractTracheomediastinal fistula (TMF) is an uncommon condition and carries a high mortality. We report the anesthetic management of a patient with TMF using stent insertion via rigid bronchoscopy. The TMF was a complication of double-lumen endotracheal tube insertion resulting in a tension pneumomediastinum. Initial intraoperative attempts to ventilate the lungs and overcome the air leak with high gas flow of 45 L/min via the side port of the bronchoscope resulted in a pneumothorax. This case report demonstrates that high-frequency jet ventilation can minimize the air leak and avoid barotrauma during anesthesia for TMF repair.Copyright © 2020 International Anesthesia Research Society.
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