Medicine Science (Mar 2018)

Our interventional lung assist experience with tracheoesophageal fistula in intensive care unit: A case report

  • Ibrahim Mungan,
  • Sema Turan,
  • Dilek Kazanci,
  • Busra Tezcan,
  • Derya Ademoglu,
  • Sultan Sevim Yakin,
  • Mine Cavus,
  • Hayriye Cankar Dal

DOI
https://doi.org/10.5455/medscience.2017.06.8708
Journal volume & issue
Vol. 7, no. 1
pp. 238 – 242

Abstract

Read online

A tracheoesophageal fistula (TEF) is a congenital or acquired communication between the trachea and esophagus. Acquired TEF is a rare but serious clinical entity. Here, we report the treatment of a patient with interventional lung assist (ILA) in the course of TEF -related hipercarbia and respiratory acidosis as a result of failure of protective ventilation strategy and his outcome after treatment. iLA contains a specially designed low resistance lung membrane, which uses the pressure difference between the arterial and venous circulation. This system enables the use of high airway pressures for oxygenation in combination with very low tidal volumes to avoid ventilator-induced lung injury and this gives time to patient for lung recovery. [Med-Science 2018; 7(1.000): 238-242]

Keywords