Tracheoesophageal fistula in a patient with a Left Ventricular Assist Device

Autor: Maxymiv, Nicolas, Broughton, Kirbie, Thakrar, Shilen
Zdroj: Anaesthesia Cases; July 2017, Vol. 5 Issue: 2 p1-6, 6p
Abstrakt: Tracheo-oesophageal fistula (TOF) is a rare complication associated with mechanically ventilated critically ill patients. Predisposing risk factors include high tracheal tube cuff pressure, and the presence of an orogastric tube. We present a case of TOF in a critically ill patient with a left ventricular assist device. Anaesthetists are often called to manage an airway for a displaced tracheal tube or one with a suspected cuff leak. Exchanging a tracheal tube is not without risk. Tracheo-oesophageal fistula may present in a similar fashion to a leaking or displaced tracheal tube and it is critical to ensure that this diagnosis is not missed.
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