ABSTRACT
Broncho-esophageal fistula (BEF) are quite rare in adults, more so the congenital variety. The common causes of BEF in adults include infections, trauma, and malignancies. We report a rare case of congenital BEF manifesting in adulthood with repeated pulmonary infections. We emphasize mainly on the preoperative preparation and perioperative management of this patient. It is essential to have a high index of suspicion to diagnose congenital BEF in adults. Anesthesiologists play an important role in successful management of these cases.
Subject(s)
Adult , Anesthesia/methods , Bronchial Fistula/complications , Bronchial Fistula/congenital , Bronchial Fistula/diagnosis , Bronchial Fistula/therapy , Cough/etiology , Esophageal Fistula/complications , Esophageal Fistula/congenital , Esophageal Fistula/diagnosis , Esophageal Fistula/therapy , Humans , Lung Diseases/etiology , MaleABSTRACT
Interference of monitored electrocardiogram (ECG) is a common event in intensive care units and operation theaters. Artifacts in the ECG tracing can resemble serious arrhythmia, thus leading to unnecessary usage of antiarrhythmics or electrical defibrillation. In addition, ECG artifacts may lead to serious hemodynamic consequences secondary to intra-aortic balloon pump (IABP) trigger failure. We report a rare event of IABP failure due to ECG artifact, which appeared on placement of the transthoracic echocardiography probe over the chest. Subsequent evaluation revealed potential current leakage from echocardiography machine secondary to earthing defect in the machine.