Acquired tracheoesophageal fistula with undiagnosed tracheal stenosis: A simple innovation to avoid tracheostomy!

Regardless of aetiology, acquired tracheo-oesophageal fistula (TEF) is a life-threatening condition due to the risk of pulmonary soiling and sepsis. Distorted airway anatomy below the glottis makes airway management challenging. We present the anaesthetic management for TEF repair in an adult male who developed fistula following organophosphorus poisoning. Maintaining optimum position of the endotracheal tube (ETT) during cross-field ventilation and ETT repositioning is crucial. For better understanding of the anaesthetic management for this relatively rare surgery, we have described airway management sequentially to coincide with different phases of surgical interventions.

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Airway Manoeuvres during Anaesthetic Management of Adult Acquired Tracheo-Oesophageal Fistula

Adate

Kale

Dongare

et al. 2021

Airway

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Acquired tracheoesophageal fistula with undiagnosed tracheal stenosis: A simple innovation to avoid tracheostomy!

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Airway Manoeuvres during Anaesthetic Management of Adult Acquired Tracheo-Oesophageal Fistula

Airway Manoeuvres during Anaesthetic Management of Adult Acquired Tracheo-Oesophageal Fistula

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