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Der Anaesthesist

, Volume 68, Issue 11, pp 777–779 | Cite as

Tracheoesophageal fistula following button battery ingestion in an infant

Airway management considerations
  • R. Hofmeyr
  • K. Bester
  • A. Willms
  • J. Hewitson
  • C. ByhahnEmail author
Kasuistiken
  • 124 Downloads

Abstract

A 13-month-old infant was admitted to hospital approximately 3 weeks after ingestion of a button battery, which was lodged in the esophagus and had caused a tracheoesophageal fistula requiring mechanical ventilation. Since the battery had partially penetrated into the tracheal lumen just above the carina and also was in direct contact with the pulmonary artery, extensive considerations regarding airway and circulatory management were required preoperatively, which are presented and discussed in this case report.

Keywords

Jet ventilation Lung separation Cardiac arrest Deep hypothermia Low tracheal surgery 

Tracheoösophageale Fistel nach Ingestion einer Knopfbatterie bei einem Säugling

Implikationen für das Atemwegsmanagement

Zusammenfassung

Ein 13-monatiger Säugling stellt sich etwa 3 Wochen nach Ingestion einer Knopfbatterie vor, welche im Ösophagus steckengeblieben war und eine tracheoösophageale Fistel mit Beatmungspflichtigkeit verursacht hatte. Da die Batterie die Tracheahinterwand knapp oberhalb der Carina perforiert und zudem unmittelbaren Kontakt zur Pulmonalarterie hatte, waren präoperativ umfangreiche Überlegungen zum Atemwegs- und Kreislaufmanagement erforderlich, die in dieser Kasuistik dargestellt und diskutiert werden.

Schlüsselwörter

Jetventilation Seitengetrennte Intubation Kreislaufstillstand Tiefe Hypothermie Trachealchirurgie 

Notes

Compliance with ethical guidelines

Conflict of interest

R.Hofmeyr, K. Bester, A. Willms, J. Hewitson and Prof. Dr. med. C. Byhahn declare that they have no competing interests.

For this article no studies with human participants or animals were performed by any of the authors. All studies performed were in accordance with the ethical standards indicated in each case. Additional written informed consent was obtained from all individual participants or their legal representatives for whom identifying information is included in this article.

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Copyright information

© Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2019

Authors and Affiliations

  • R. Hofmeyr
    • 1
    • 2
  • K. Bester
    • 1
    • 2
  • A. Willms
    • 3
  • J. Hewitson
    • 2
    • 4
  • C. Byhahn
    • 3
    Email author
  1. 1.Department of Anesthesia and Perioperative MedicineUniversity of Cape TownCape TownSouth Africa
  2. 2.Red Cross War Memorial Children’s HospitalCape TownSouth Africa
  3. 3.Evangelisches Krankenhaus, Department of Anesthesiology, Intensive Care Medicine, and Pain ControlMedical Campus University of OldenburgOldenburgGermany
  4. 4.Chris Barnard Division of Cardiothoracic SurgeryUniversity of Cape TownCape TownSouth Africa

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