Cargando…

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

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 deve...

Descripción completa

Detalles Bibliográficos
Autores principales: Tollinche, Luis E., Chawla, Mohit, Lee, Eunice W., Rolando Peralta, A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5804658/
https://www.ncbi.nlm.nih.gov/pubmed/29457105
http://dx.doi.org/10.1186/s40981-017-0133-2
_version_ 1783298883636428800
author Tollinche, Luis E.
Chawla, Mohit
Lee, Eunice W.
Rolando Peralta, A.
author_facet Tollinche, Luis E.
Chawla, Mohit
Lee, Eunice W.
Rolando Peralta, A.
author_sort Tollinche, Luis E.
collection PubMed
description 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.
format Online
Article
Text
id pubmed-5804658
institution National Center for Biotechnology Information
language English
publishDate 2017
publisher Springer Berlin Heidelberg
record_format MEDLINE/PubMed
spelling pubmed-58046582018-02-14 Collaborating with interventional pulmonology in managing a massive tracheoesophageal fistula that extends from cricoid to carina: a case report Tollinche, Luis E. Chawla, Mohit Lee, Eunice W. Rolando Peralta, A. JA Clin Rep Case Report 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. Springer Berlin Heidelberg 2017-12-04 /pmc/articles/PMC5804658/ /pubmed/29457105 http://dx.doi.org/10.1186/s40981-017-0133-2 Text en © The Author(s) 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Case Report
Tollinche, Luis E.
Chawla, Mohit
Lee, Eunice W.
Rolando Peralta, A.
Collaborating with interventional pulmonology in managing a massive tracheoesophageal fistula that extends from cricoid to carina: a case report
title Collaborating with interventional pulmonology in managing a massive tracheoesophageal fistula that extends from cricoid to carina: a case report
title_full Collaborating with interventional pulmonology in managing a massive tracheoesophageal fistula that extends from cricoid to carina: a case report
title_fullStr Collaborating with interventional pulmonology in managing a massive tracheoesophageal fistula that extends from cricoid to carina: a case report
title_full_unstemmed Collaborating with interventional pulmonology in managing a massive tracheoesophageal fistula that extends from cricoid to carina: a case report
title_short Collaborating with interventional pulmonology in managing a massive tracheoesophageal fistula that extends from cricoid to carina: a case report
title_sort collaborating with interventional pulmonology in managing a massive tracheoesophageal fistula that extends from cricoid to carina: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5804658/
https://www.ncbi.nlm.nih.gov/pubmed/29457105
http://dx.doi.org/10.1186/s40981-017-0133-2
work_keys_str_mv AT tollincheluise collaboratingwithinterventionalpulmonologyinmanagingamassivetracheoesophagealfistulathatextendsfromcricoidtocarinaacasereport
AT chawlamohit collaboratingwithinterventionalpulmonologyinmanagingamassivetracheoesophagealfistulathatextendsfromcricoidtocarinaacasereport
AT leeeunicew collaboratingwithinterventionalpulmonologyinmanagingamassivetracheoesophagealfistulathatextendsfromcricoidtocarinaacasereport
AT rolandoperaltaa collaboratingwithinterventionalpulmonologyinmanagingamassivetracheoesophagealfistulathatextendsfromcricoidtocarinaacasereport