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Case Reports
Congenital adult tracheoesophageal fistula repair with transthoracic ventilation: a case report.
- Olga L Bednarek, Brendan E Morgan, Andrei Khorovets, Madelaine M Plourde, and Daniel G French.
- Division of Thoracic Surgery, Department of Surgery, Dalhousie University, 7-014 - 1276 South Park Street, Halifax, NS, B3H 2Y9, Canada. Olga.Bednarek@dal.ca.
- Can J Anaesth. 2022 Sep 1; 69 (9): 117411771174-1177.
PurposeTo 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 FeaturesA 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.ConclusionsAirway 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.© 2022. Canadian Anesthesiologists' Society.
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