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Korean J Crit Care Med > Volume 18(1); 2003 > Article
Korean Journal of Critical Care Medicine 2003;18(1): 39-42.
증례 보고 : 기관내 삽관에 의해 발생한 기관식도루 -증례 보고-
김웅모, 정성욱, 곽상현, 정성수, 정창영
전남대학교 의과대학, *치과대학 마취통증의학교실
Tracheoesophageal Fistula as a Complication after Endotracheal Intubation: A Case Report
Woong Mo Kim, Seong Wook Jeong, Sang Hyun Kwak, Sung Su Chung, Chang Young Jeong
1Department of Anesthesiology and Critical Care Medicine, Chonnam National University Medical School, Korea. shkwak@chonnam.ac.kr
2Department of Anesthesiology and Critical Care Medicine, Chonnam National University College of Dentistry, Gwangju, Korea.
ABSTRACT
Placement of endotracheal tube, even for extremely short periods, can result in injury to laryngeal and tracheal tissue. This may be clinically insignificant, but in rare cases, it could be life threatening and results in permanent disability. Especially, tracheoesophageal fistula (TEF) is a serious and challenging problem because it may contaminate the tracheobronchial tree and interfere with nutrition. This uncommon but lethal complication has been reported to be associated with certain risk factors in tracheally intubated patients, and better knowledge of these factors could reduce the incidence of post-intubation TEF. We report a case of 49-year old male patient who has acquired TEF caused by endotracheal intubation and positive pressure ventilation.
Key Words: Endotracheal intubation; Tracheoesophageal fistula
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