[Tracheo-oesophageal fistula caused by prolonged intubation of a severely injured patient with shock lung syndrome (author's transl)].
A case of tracheo-oesophageal fistula is reported which developed in the course of 4 1/2-weeks' mechanical ventilation (via a naso-tracheal tube) in a severely injured patient with shock lung syndrome. The patient was fed partly via a nasal gastric tube and partly parenterally. The fistula developed despite careful nursing, intermittent blocking of the cuff, weekly changes of the endotracheal tube and inspection of the epiglottic space. As the fistula failed to close spontaneously closure was effected by surgery. With the available types of endotracheal tubes damage to the tracheal structures cannot apparently be entirely prevented.
D000063:Accidents, Traffic; D000328:Adult; D004620:Embolism, Fat / Q000209:etiology; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D008297:Male; D011655:Pulmonary Embolism / Q000209:etiology; D012121:Respiration, Artificial; D014138:Tracheoesophageal Fistula / Q000209:etiology*
Tracheo-ösophageale Fistel bei Langzeitintubation eines polytraumatisierten Patienten mit Schocklunge.