Collaborating with interventional pulmonology in managing a massive tracheoesophageal fistula that extends from cricoid to carina: A case report Journal Article

   

Authors:	Tollinche, L. E.; Chawla, M.; Lee, E. W.; Peralta, A. R.
Article Title:	Collaborating with interventional pulmonology in managing a massive tracheoesophageal fistula that extends from cricoid to carina: A case report
Abstract:	Tracheoesophageal fistulas (TEF) present a perioperative management challenge. A 62 year-old man with esophageal carcinoma presented with a large tracheoesophageal fistula extending most of the trachea. Previously, the patient had two overlapping esophageal and one tracheal stent placed, but he developed progressive tracheal disruption due to esophageal stent perforation near the level of the cricoid. This case describes the anesthetic management of tracheal stent placement for an expanding TEF. Management included a spontaneous breathing inhalation induction followed by ventilation through a supraglottic device-laryngeal mask airway (LMA). Finally, during rigid bronchoscopy, a combination of bag ventilation and jet ventilation was utilized.
Keywords:	stent; bronchoscopy; repair; esophageal; anesthesia; tracheoesophageal fistula; neonate; tracheal stent; jet ventilation; laryngeal mask airway; ventilatory management; subglottic stenosis
Journal Title:	JA Clinical Reports
Volume:	3
ISSN:	2363-9024
Publisher:	SpringerOpen
Date Published:	2017-12-04
Start Page:	62
Language:	English
ACCESSION:	WOS:000417086100001
DOI:	10.1186/s40981-017-0133-2
PROVIDER:	wos
PMCID:	PMC5804658
PUBMED:	29457105
Notes:	Article -- Source: Wos

https://synapse.mskcc.org/synapse/works/has_related_data_chk/119943