Gu Yang, Zhang Xiaowei, Min Keting, Wei Juan, Zhou Qing, Lv Xin, Duan Ruowang
Department of Anesthesiology, Shanghai Pulmonary Hospital, School of Medicine, Tongji University, Shanghai, China.
Department of Anesthesiology, Shanghai Skin Disease Hospital, School of Medicine, Tongji University, Shanghai, China.
Front Med (Lausanne). 2023 Jan 19;10:1067424. doi: 10.3389/fmed.2023.1067424. eCollection 2023.
Iatrogenic tracheoesophageal fistula (TEF) is a rare but life-threatening condition. No consensus has been reached regarding TEF treatment, though, stenting has been gaining popularity for less invasiveness than thoracic surgery. The airway management during stent placement for TEF could be challenging.
We report a patient who suffered from TEF after cardiac surgery with symptoms of persistent coughing and aspiration. He who was admitted for stent placement but ended up in failure and referred to our institution for further treatment. We successfully took advantage of the supraglottic jet oxygenation and ventilation (SJOV) during stent placement.
This is the first case so far describing SJOV in complicated stenting treatment. This demonstrates that SJOV can be applied for stent placement in TEF patients with restricted airways.
医源性气管食管瘘（TEF）是一种罕见但危及生命的疾病。尽管对于TEF的治疗尚未达成共识，但由于支架置入术比胸外科手术侵入性小，其应用越来越广泛。TEF支架置入过程中的气道管理可能具有挑战性。
我们报告一名心脏手术后发生TEF的患者，伴有持续咳嗽和误吸症状。他因支架置入入院，但最终失败，随后转诊至我院接受进一步治疗。我们在支架置入过程中成功利用了声门上喷射给氧和通气（SJOV）。
这是迄今为止首例在复杂支架置入治疗中描述SJOV的病例。这表明SJOV可应用于气道受限的TEF患者的支架置入。
