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CASE REPORT
Year : 2021  |  Volume : 4  |  Issue : 2  |  Page : 128-131

Airway manoeuvres during anaesthetic management of adult acquired tracheo-oesophageal fistula


Department of Anaesthesiology and Critical Care, Smt Kashibai Navale Medical College and General Hospital, Pune, Maharashtra, India

Correspondence Address:
Dr. Kavita Udaykumar Adate
102, Radhanagri Phase II, Wadgaon Bk, Sinhagad Road, Pune - 411 041, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/arwy.arwy_29_21

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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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