Mathew Preethy J, Ashok Vighnesh, Malik Muneer Abas
From the Department of Anaesthesia and Intensive Care, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
A A Pract. 2020 Jan 15;14(2):48-50. doi: 10.1213/XAA.0000000000001139.
A tracheal pouch is a rare complication of successful repair of a congenital tracheoesophageal fistula (TEF). An 18-month-old child with a repaired congenital TEF was scheduled for esophageal dilation to treat his esophageal stricture. Migration of the distal end of the endotracheal tube into a previously undetected tracheal pouch caused an abrupt failure to ventilate at the end of surgery. Given our experience, we recommend to screen the trachea of every patient with corrected TEF for a tracheal pouch when they are scheduled for another procedure requiring general anesthesia.
气管憩室是先天性气管食管瘘（TEF）成功修复术后一种罕见的并发症。一名18个月大的先天性TEF修复患儿计划进行食管扩张术以治疗食管狭窄。气管内导管远端移入先前未被发现的气管憩室，导致手术结束时突然无法通气。根据我们的经验，我们建议在每例接受过TEF矫正的患者计划进行另一项需要全身麻醉的手术时，对其气管进行气管憩室筛查。
