Repository logo
 
Loading...
Thumbnail Image
Publication

Unexpected Presentation of Tracheoesophageal Fistula During Intubation in a Pediatric Patient

Use this identifier to reference this record.
Name:Description:Size:Format: 
Cureus 2023_e50761.pdf650.85 KBAdobe PDF Download

Advisor(s)

Abstract(s)

Tracheoesophageal fistula (TEF) is an abnormal connection between the trachea and esophagus. This report presents a rare case of a pediatric patient who developed a TEF due to battery ingestion, which was diagnosed during intubation and resulted in cardiac arrest. A 4-year-old child with a two-year history of battery ingestion presented with severe dehydration, weight loss, and recurrent respiratory tract infections. Chest X-ray revealed a radiopaque foreign body in the esophagus. During general anesthesia for central venous line insertion and after endotracheal intubation, some difficulties in ventilation occurred, characterized by the inability to reach tidal volume, absence of capnography, and stomach distention which led to hypoxia and ultimately to cardiac arrest. Prompt resuscitation (CPR) was initiated, and selective right bronchial intubation during CPR improved the patient's condition. Subsequent bronchofibroscopy performed in the ICU confirmed the TEF, which was surgically corrected during the hospital stay. TEF poses challenges in anesthesia and airway management, particularly when positive pressure ventilation is used. In this case, the TEF was diagnosed during intubation, highlighting the critical role of clinical expertise and prompt intervention in managing this unexpected pediatric critical event.

Description

Keywords

Tracheoesophageal fistula Button battery, ingestion Critical airway Lung ventilation Anesthesiology Child HDE ANS

Citation

Cureus . 2023 Dec 19;15(12):e50761

Research Projects

Organizational Units

Journal Issue

Publisher

Cureus Editoral

Collections

CC License

Altmetrics