Using Bronchoscopy to Detect Acquired Tracheoesophageal Fistula in Mechanically Ventilated Patients | Zendy

Michael Green | Zendy; J. Mathew | Zendy; Lia Michos | Zendy; Parmis Green | Zendy; Mansoor Aman | Zendy

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Using Bronchoscopy to Detect Acquired Tracheoesophageal Fistula in Mechanically Ventilated Patients

Author(s) -

Michael Green,

J. Mathew,

Lia Michos,

Parmis Green,

Mansoor Aman

Publication year - 2017

Publication title -

anesthesiology and pain medicine

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.438

H-Index - 26

eISSN - 2228-7531

pISSN - 2228-7523

DOI - 10.5812/aapm.57801

Subject(s) - medicine , tracheoesophageal fistula , cuff , airway , bronchoscopy , mechanical ventilation , intubation , airway management , anesthesia , angioedema , tracheal intubation , stridor , surgery , fistula

While it may be difficult to predict who will actually develop a TEF, it is prudent to identify those at risk and take precautionary measures to prevent one. Emphasis should be placed on daily endotracheal cuff manometric pressure check to prevent ischemic changes of the tracheal mucosa resulting from high cuff pressures. Also, bronchoscopy could be used after extubating susceptible patients to detect an acquired TEF.

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