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  • Colonic interposition for oesophageal replacement surgery in a patient with left broncho-oesophageal fistula: anaesthetic management

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Case report
Colonic interposition for oesophageal replacement surgery in a patient with left broncho-oesophageal fistula: anaesthetic management
  1. Kavitha Girish,
  2. Ameya Pappu,
  3. Rashmi Ramachandran and
  4. Vimi Rewari
  1. Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, New Delhi, Delhi, India
  1. Correspondence to Professor Vimi Rewari; vimirewari{at}gmail.com

Abstract

Management of an uncorrected broncho-oesophageal fistula in the perioperative period is a challenge for the anaesthesiologist. Positive pressure ventilation which is inevitable during surgery will lead to gastric insufflation and there is a high risk of aspiration of gastric contents. In this case report, we discuss how we used a double lumen tube to occlude a pericarinal broncho-oesophageal fistula. This method was quite effective as it obviated the need for isolating the lung as well as ensured smooth delivery of positive pressure ventilation during the surgery.

  • anaesthesia
  • oesophagus
  • mechanical ventilation

https://doi.org/10.1136/bcr-2021-243738

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    Footnotes

    • Twitter @docvimi

    • Contributors KG, AP, VR contributed to acquisition of data, drafting of the article or revising it critically for important intellectual content. RR contributed to revising the draft critically for important intellectual content. Final approval of the version published, Agreement to be accountable for the article and to ensure that all questions regarding the accuracy or integrity of the article are investigated and resolved.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.