Tracheal tear during laryngopharyngectomy and transhiatal oesophagectomy: a case report.
A case is reported of a tracheal tear developing during laryngopharyngectomy and transhiatal oesophagectomy. Ventilation and oxygenation were managed by removing the tracheostomy tube and advancing a straight cuffed armoured tube via the tracheostomy into one main stem bronchus and applying CPAP to the other bronchus via a Foley catheter. Following gastrointestinal reconstruction, the membranous tracheal tear was repaired via a right lateral thoracotomy.
Sung
H M
HM
Department of Anaesthesia, Vancouver General Hospital, British Columbia.
Nelems
B
B
D000768:Anesthesia, General; D002404:Catheterization; D004947:Esophagus / Q000601:surgery*; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects; D007825:Laryngectomy / Q000009:adverse effects*; D008875:Middle Aged; D009959:Oropharyngeal Neoplasms / Q000601:surgery*; D010610:Pharyngeal Neoplasms / Q000601:surgery*; D010611:Pharyngectomy / Q000009:adverse effects*; D012121:Respiration, Artificial; D012421:Rupture; D013874:Thiopental; D014132:Trachea / Q000293:injuries*
D013874:Thiopental