Use of an Aortic Cannula for Tracheal Intubation in a Patient With Severe Tracheal Stenosis and Tracheoesophageal Fistula: A Case Report

A one-day-old girl was brought to the OR for the repair of a type C esophageal atresia (EA) [EA with tracheoesophageal fistula (TEF)]. Rigid bronchoscopy was performed to locate the fistula, and it revealed a severe long-segment tracheal stenosis. Therefore, the airway could not have been secured pa...

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Detalles Bibliográficos
Autores principales: Siddiqui, Asad, Wolter, Nikolaus E, Matava, Clyde
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2020
Materias:
Anesthesiology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7392359/
https://www.ncbi.nlm.nih.gov/pubmed/32760638
http://dx.doi.org/10.7759/cureus.9456
Descripción
Sumario:A one-day-old girl was brought to the OR for the repair of a type C esophageal atresia (EA) [EA with tracheoesophageal fistula (TEF)]. Rigid bronchoscopy was performed to locate the fistula, and it revealed a severe long-segment tracheal stenosis. Therefore, the airway could not have been secured past the fistula using normal-sized endotracheal tubes (ETTs). A nontraditional airway using an aortic cannula was used to intubate the stenotic tracheal segment, and the patient received ventilation during the TEF/EA repair. 

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