title: [Sufficient high frequency jet ventilation during a period of 2.5 h - Airway management during resection of a tracheaesophageal fistula and tracheal resection].
abstract: We present a 54 year old female patient who had undergone a Ross procedure in 2009, and in 2013 again a replacement of the aortic root and arch with bioprothetic material and homograft replacement of the pulmonalis walve. Postoperatively the patient had experienced a functional compromising tracheal stenosis and a persistent esophago-tracheal fistula. Endoscopic attempts to close the fistula were not successful, and the fistula was "bridged" with an endoscopically positioned tracheal stent.We report the anaesthesiological management during the open surgical repair of the esophago-tracheal fistula and resection of 2 tracheal rings with high frequency jet ventilation over a period of 2.5 h. The Patient was discharged from hospital on the 17. postoperative day.
authors.affiliation: Abteilung für Anästhesiologie und Schmerztherapie Ruhrlandklinik, Universitätsklinikum Essen.
authors.forename: Sandra
authors.initials: S
authors.lastname: Kampe
authors.affiliation: Abteilung für Anästhesiologie und Schmerztherapie Ruhrlandklinik, Universitätsklinikum Essen.
authors.forename: Miguel
authors.initials: M
authors.lastname: Rocha
authors.affiliation: Abteilung für Interventionelle Pneumologie, Ruhrlandklinik, Universitätsklinikum Essen.
authors.forename: Kaid
authors.initials: K
authors.lastname: Darwiche
authors.affiliation: Klinik für Anästhesiologie und Operative Intensivmedizin, Otto-von-Guericke Universität Magdeburg.
authors.forename: Uwe
authors.initials: U
authors.lastname: Ebmeyer
authors.affiliation: Abteilung für Thoraxchirurgie und thorakale Endoskopie, Ruhrlandklinik, Universitätsklinikum Essen.
authors.forename: Stamatis
authors.initials: S
authors.lastname: Georgios
mesh_terms: D058109:Airway Management / Q000379:methods*; D016629:Esophagectomy / Q000379:methods; D005260:Female; D006611:High-Frequency Jet Ventilation / Q000379:methods*; D006801:Humans; D007430:Intraoperative Care / Q000379:methods*; D008875:Middle Aged; D014138:Tracheoesophageal Fistula / Q000534:rehabilitation / Q000601:surgery*; D014140:Tracheotomy / Q000379:methods*