Two Cases of Postintubation Tracheoesophageal Fistula in Patients with a History of Tracheostomy: Case Report.
10.4266/kjccm.2009.24.2.87
- Author:
Seung Chan KIM
1
;
Kyung Won HA
;
Joon Ho WANG
;
Se Jin KIM
;
Won Hak KIM
;
So Hee JEONG
;
Woo Sung LEE
;
Sang Don HAN
;
Gyu Rak CHON
Author Information
1. Department of Internal Medicine, Chungju Hospital, Konkuk University, Chungju, Korea. medicor@kku.ac.kr
- Publication Type:Case Report
- Keywords:
intubation;
tracheoesophageal fistula
- MeSH:
Fistula;
Humans;
Intubation;
Intubation, Intratracheal;
Neck;
Respiration, Artificial;
Thorax;
Tracheoesophageal Fistula;
Tracheostomy
- From:The Korean Journal of Critical Care Medicine
2009;24(2):87-91
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Common causes of acquired tracheoesophageal (T-E) fistula are blunt trauma on the neck or chest, malignancy, long-term mechanical ventilation, and post-intubation injury. Most of the cases are fatal due to severe respiratory infection. We experienced two cases of post-intubation T-E fistula in patients with a history of tracheostomy that developed earlier than usual. One case was caused by excessive cuff pressure and the other by avulsion injury during endotracheal intubation. We can get instructions from these cases that how to prevent T-E fistula because it is hard to treat and causes severe outcomes.
