Sweeney Duncan J, Chao Caroline, Ridgers Anna, Knee Chong Christine, Goldblatt Joshua, Seevanayagam Siven, Howard Mark E
Department of Respiratory and Sleep Medicine Austin Health Heidelberg Victoria Australia.
Institute for Breathing and Sleep Heidelberg Victoria Australia.
Respirol Case Rep. 2022 Oct 21;10(11):e01049. doi: 10.1002/rcr2.1049. eCollection 2022 Nov.
We report the case of a man with severe Guillain-Barré syndrome who developed a persistent tracheocutaneous fistula (TCF) following prolonged tracheostomy and mechanical ventilation. Following tracheostomy decannulation, the TCF had a deleterious effect on non-invasive positive pressure ventilation efficacy and ability to effectively clear airway secretions due to air leaking from the patent stoma. This case highlights a non-surgical approach to TCF management that is not well-described in the literature and presents an alternative management option for cohorts of patients in which the risk associated with surgical interventions may be undesirable.
我们报告了一例患有严重吉兰 - 巴雷综合征的男性患者，该患者在长期气管切开术和机械通气后出现了持续性气管皮肤瘘（TCF）。气管切开插管拔除后，由于空气从开放的造口漏出，TCF对无创正压通气效果以及有效清除气道分泌物的能力产生了有害影响。本病例突出了一种文献中未充分描述的TCF管理的非手术方法，并为那些手术干预相关风险可能不理想的患者群体提供了一种替代管理选择。
