Sealing of a Tracheoesophageal Fistula Using a Sengstaken-Blakemore Tube for Mechanical Ventilation During General Anesthesia

In patients with intratracheal tumors, airway management while maintaining oxygenation and providing surgical access to the airway can be challenging. Here, we present a case of a two-stage operation to remove an intratracheal tumor causing partial obstruction near the carina. In the otorhinolaryngology department, a biopsy was performed during apnea under high-flow nasal oxygenation support. A few days later, a thoracic surgeon performed tracheal resection after sternotomy under general anesthesia. Mechanical ventilation was performed by inserting a sterile endotracheal tube in the resected distal part of the trachea in the surgical field for tracheal end-to-end anastomosis. Airway was successfully secured through close communication between teams of anesthesiologists and surgeons.

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Effects of General Anesthesia, Muscle Paralysis, and Mechanical Ventilation on Pulmonary Nitrogen Clearance

Anesthesiology ◽

10.1097/00000542-197112000-00008 ◽

1971 ◽

Vol 35 (6) ◽

pp. 591-601 ◽

Cited By ~ 37

Author(s):

Kai Rehder ◽

David J. Hatch ◽

Alan D. Sexier ◽

Harold M. Marsh ◽

Ward S. Fowler

Keyword(s):

Mechanical Ventilation ◽

General Anesthesia ◽

Muscle Paralysis

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Presentation of an H-Type tracheoesophageal fistula during general anesthesia

Journal of Clinical Anesthesia ◽

10.1016/j.jclinane.2010.02.009 ◽

2010 ◽

Vol 22 (7) ◽

pp. 576-577

Author(s):

Jeremy Thurgood ◽

Alan Ladd ◽

Stephen F. Dierdorf

Keyword(s):

General Anesthesia ◽

Tracheoesophageal Fistula

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An Evaluation of the Laryngeal Tube?? During General Anesthesia Using Mechanical Ventilation

Anesthesia & Analgesia ◽

10.1213/01.ane.0000066252.60734.4e ◽

2003 ◽

pp. 1750-1755 ◽

Cited By ~ 26

Author(s):

Luis A. Gaitini ◽

Sonia J. Vaida ◽

Mostafa Somri ◽

Victor Kaplan ◽

Boris Yanovski ◽

...

Keyword(s):

Mechanical Ventilation ◽

General Anesthesia ◽

Laryngeal Tube

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Evaluating the Use of the Tobin Index on Mechanical Ventilation Weaning after General Anesthesia

Brazilian Journal of Anesthesiology ◽

10.1590/s0034-70942009000300014 ◽

2009 ◽

Vol 59 (3) ◽

pp. 382-383

Author(s):

Luiz Alberto Forgiarini ◽

Adriane Dal Bosco ◽

Alexandre Simões Dias

Keyword(s):

Mechanical Ventilation ◽

General Anesthesia ◽

Ventilation Weaning ◽

Mechanical Ventilation Weaning

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Barrett's esophagitis related bronchoesophageal fistula - the diagnostic value of persistent air leak in the ventilated setting

McGill Journal of Medicine ◽

10.26443/mjm.v10i2.698 ◽

2020 ◽

Vol 10 (2) ◽

Author(s):

O Halaweh ◽

Saad Z. Usmani ◽

R Abouasaleh

Keyword(s):

Mechanical Ventilation ◽

Respiratory Failure ◽

Tracheoesophageal Fistula ◽

Primary Closure ◽

Diagnostic Value ◽

Air Leak ◽

Bronchoesophageal Fistula ◽

Mechanically Ventilated ◽

Short Course ◽

Persistent Air Leak

A case of acquired tracheoesophageal fistula (TEF) is presented in a 44-year-old female who presented with acute respiratory failure due to bilateral aspiration pneumonia. The patient had persistent air leak while on mechanical ventilation and underwent bronchoscopy which revealed the above etiology. Histopathology showed Barrett's esophagitis. The patient underwent primary closure followed by a short course of proton pump inhibitors. There are only two prior reported cases of acquired TEF associated with Barrett's esophagitis. This condition should be taken under consideration when investigating of an explained persistent air leak in a mechanically ventilated patient.

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