Total intravenous anesthesia and endotracheal oxygen insufflation for repair of tracheoesophageal fistula in an adult.

作者: Gavin M. Joynt , Po T. Chui , Phoebe Mainland , Victor Abdullah

DOI: 10.1097/00000539-199603000-00040

关键词: InsufflationMedicineFistulaAnesthesiaLarynxLaryngectomySurgeryVoice prosthesisTracheoesophageal fistulaIntubationTracheotomy

摘要: A tracheoesophageal voice prosthesis facilitates speech rehabilitation after laryngectomy (1,2). We describe the anesthetic management of a patient who required repair large fistula around prosthesis. The requirements for access to upper trachea excluded use tracheotomy tube. Our technique total intravenous anesthesia, spontaneous ventilation, and endotracheal O 2 insufflation provided excellent operating conditions while ensuring adequate anesthesia depth, oxygenation, safety.

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