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Supraglottic jet oxygenation and ventilation via nasopharyngeal airway for a patient with iatrogenic tracheoesophageal fistula: A case report

BACKGROUND: Iatrogenic tracheoesophageal fistula (TEF) is a rare but life-threatening condition. No consensus has been reached regarding TEF treatment, though, stenting has been gaining popularity for less invasiveness than thoracic surgery. The airway management during stent placement for TEF could...

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Autores principales: Gu, Yang, Zhang, Xiaowei, Min, Keting, Wei, Juan, Zhou, Qing, Lv, Xin, Duan, Ruowang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9892195/
https://www.ncbi.nlm.nih.gov/pubmed/36744148
http://dx.doi.org/10.3389/fmed.2023.1067424
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author Gu, Yang
Zhang, Xiaowei
Min, Keting
Wei, Juan
Zhou, Qing
Lv, Xin
Duan, Ruowang
author_facet Gu, Yang
Zhang, Xiaowei
Min, Keting
Wei, Juan
Zhou, Qing
Lv, Xin
Duan, Ruowang
author_sort Gu, Yang
collection PubMed
description BACKGROUND: Iatrogenic tracheoesophageal fistula (TEF) is a rare but life-threatening condition. No consensus has been reached regarding TEF treatment, though, stenting has been gaining popularity for less invasiveness than thoracic surgery. The airway management during stent placement for TEF could be challenging. CASE PRESENTATIONS: We report a patient who suffered from TEF after cardiac surgery with symptoms of persistent coughing and aspiration. He who was admitted for stent placement but ended up in failure and referred to our institution for further treatment. We successfully took advantage of the supraglottic jet oxygenation and ventilation (SJOV) during stent placement. CONCLUSION: This is the first case so far describing SJOV in complicated stenting treatment. This demonstrates that SJOV can be applied for stent placement in TEF patients with restricted airways.
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spelling pubmed-98921952023-02-03 Supraglottic jet oxygenation and ventilation via nasopharyngeal airway for a patient with iatrogenic tracheoesophageal fistula: A case report Gu, Yang Zhang, Xiaowei Min, Keting Wei, Juan Zhou, Qing Lv, Xin Duan, Ruowang Front Med (Lausanne) Medicine BACKGROUND: Iatrogenic tracheoesophageal fistula (TEF) is a rare but life-threatening condition. No consensus has been reached regarding TEF treatment, though, stenting has been gaining popularity for less invasiveness than thoracic surgery. The airway management during stent placement for TEF could be challenging. CASE PRESENTATIONS: We report a patient who suffered from TEF after cardiac surgery with symptoms of persistent coughing and aspiration. He who was admitted for stent placement but ended up in failure and referred to our institution for further treatment. We successfully took advantage of the supraglottic jet oxygenation and ventilation (SJOV) during stent placement. CONCLUSION: This is the first case so far describing SJOV in complicated stenting treatment. This demonstrates that SJOV can be applied for stent placement in TEF patients with restricted airways. Frontiers Media S.A. 2023-01-19 /pmc/articles/PMC9892195/ /pubmed/36744148 http://dx.doi.org/10.3389/fmed.2023.1067424 Text en Copyright © 2023 Gu, Zhang, Min, Wei, Zhou, Lv and Duan. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Medicine
Gu, Yang
Zhang, Xiaowei
Min, Keting
Wei, Juan
Zhou, Qing
Lv, Xin
Duan, Ruowang
Supraglottic jet oxygenation and ventilation via nasopharyngeal airway for a patient with iatrogenic tracheoesophageal fistula: A case report
title Supraglottic jet oxygenation and ventilation via nasopharyngeal airway for a patient with iatrogenic tracheoesophageal fistula: A case report
title_full Supraglottic jet oxygenation and ventilation via nasopharyngeal airway for a patient with iatrogenic tracheoesophageal fistula: A case report
title_fullStr Supraglottic jet oxygenation and ventilation via nasopharyngeal airway for a patient with iatrogenic tracheoesophageal fistula: A case report
title_full_unstemmed Supraglottic jet oxygenation and ventilation via nasopharyngeal airway for a patient with iatrogenic tracheoesophageal fistula: A case report
title_short Supraglottic jet oxygenation and ventilation via nasopharyngeal airway for a patient with iatrogenic tracheoesophageal fistula: A case report
title_sort supraglottic jet oxygenation and ventilation via nasopharyngeal airway for a patient with iatrogenic tracheoesophageal fistula: a case report
topic Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9892195/
https://www.ncbi.nlm.nih.gov/pubmed/36744148
http://dx.doi.org/10.3389/fmed.2023.1067424
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