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KMID : 0604020090240020087
Korean Journal of Critical Care Medicine
2009 Volume.24 No. 2 p.87 ~ p.91
Two Cases of Postintubation Tracheoesophageal Fistula in Patients with a History of Tracheostomy
Kim Seung-Chan

Wang Joon-Ho
Kim Se-Jin
Chon Gyu-Rak
Ha Kyung-Won
Jeong So-Hee
Lee Woo-Surng
Han Sang-Don
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.
KEYWORD
intubation, tracheoesophageal fistula
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