1.
A A Pract
; 14(14): e01362, 2020 Dec 17.
Article
in English
| MEDLINE
| ID: mdl-33337114
ABSTRACT
Tracheomediastinal fistula (TMF) is an uncommon condition and carries a high mortality. We report the anesthetic management of a patient with TMF using stent insertion via rigid bronchoscopy. The TMF was a complication of double-lumen endotracheal tube insertion resulting in a tension pneumomediastinum. Initial intraoperative attempts to ventilate the lungs and overcome the air leak with high gas flow of 45 L/min via the side port of the bronchoscope resulted in a pneumothorax. This case report demonstrates that high-frequency jet ventilation can minimize the air leak and avoid barotrauma during anesthesia for TMF repair.
Subject(s)
Fistula , High-Frequency Jet Ventilation , Mediastinal Emphysema , Pneumothorax , Bronchoscopy , Humans , Mediastinal Emphysema/etiology , Mediastinal Emphysema/therapy , Pneumothorax/etiology , Pneumothorax/therapy
2.
Am J Psychiatry
; 127(10): 1333-8, 1971 Apr.
Article
in English
| MEDLINE
| ID: mdl-4323691