A Fatal, Post-Intubation, Tracheoesophageal Fistula.
| Autor: | Baig SN; Internal Medicine, Richmond University Medical Center, Staten Island, USA., Herrera SJ; Internal Medicine, Richmond University Medical Center, Staten Island, USA., Makinde D; Internal Medicine, Richmond University Medical Center, Staten Island, USA., Abaleka FI; Internal Medicine, Richmond University Medical Center, Staten Island, USA., Akhter S; Research, Richmond University Medical Center, Staten Island, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2020 Jul 05; Vol. 12 (7), pp. e9014. Date of Electronic Publication: 2020 Jul 05. |
| DOI: | 10.7759/cureus.9014 |
| Abstrakt: | Despite the use of safer tubes with high-volume, low-pressure cuffs, post-intubation injury is still the leading cause of benign, acquired, tracheoesophageal fistula (TEF). Cuff pressure, which is their primary pathogenetic driver, is not routinely monitored as a quality metric. To highlight the devastating consequences, we report this case of a fatal, iatrogenic fistula in a 64-year-old Asian male. He had undergone tracheostomy due to amyotrophic lateral sclerosis (ALS) and had a series of hospitalizations due to recurrent episodes of pneumonia. A TEF was eventually diagnosed to be the underlying cause. Esophageal stenting was ineffective. We intend to present teaching points aimed at reducing the risk of TEF in ventilator-dependent patients. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2020, Baig et al.) |
| Databáze: | MEDLINE |
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