Atypical presentation of tracheoesophageal fistula: immediate failure of ventilation via tracheostomy tube
DOI:
https://doi.org/10.18203/issn.2454-5929.ijohns20191747Keywords:
Prolonged ventilation, Tracheostomy, Tracheoesophageal fistula, Fibre optic bronchoscopeAbstract
Tracheoesophageal fistula (TOF) is a rare complication of prolonged endotracheal intubation. Undiagnosed TOF during tracheostomy poses a risk of improper placement of tracheostomy tube and can lead to a potentially life-threatening situation. We report a case of an undiagnosed tracheoesophageal fistula during tracheostomy in a lady in which we encountered difficulty in placement of tracheostomy tube and were eventually able to cannulate the trachea with the help of a fibre optic bronchoscope.
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References
Shen KR, Allen MS, Cassivi SD, Nichols FC. III, Wigle DA, Harmsen WS, et al. Surgical management of acquired nonmalignant tracheoesophageal and bronchoesophageal fistulae. Ann Thorac Surg. 2010;90:914–8.
Couraud L, Ballester MJ, Delaisement C. Acquired tracheoesophageal fistula and its management. Semin Thorac Cardiovasc Surg. 1996;8:392–9.
Marzelle J, Dartevelle P, Khalife J, Rojas-Miranda A, Chapelier A, Levasseur P. Surgical management of acquired postintubation TOF. Eur J Cardiothorac Surg. 1989;3:499-503.
Kastanos N, Estopa Miro R, Marin Perez A, Xaublet Mir A, Agusti-Vidal A. Laryngotracheal injury due to endotracheal intubation: Incidence, evolution, and predisposing factors.A long term study. Crit Care Med. 1983;11:362-7.
Paraschiv M. Tracheoesophageal fistula: A complication of prolonged tracheal intubation. J Med Life. 2014;7:516–21.