Difficult Airway Management with Awake Fiberoptic Intubation and Cross Table Ventilation in a Case of Acquired TEF with Severe Subglottic Stenosis

Sumedha Mehta; Jyoti Despande; Pooja Nirwan; Dhiraj Chopra

doi:10.18502/aacc.v10i2.15071

Sumedha Mehta Department of Anaesthesiology, SKNMC & GH, Pune, India.
Jyoti Despande Department of Anaesthesiology, SMCW-SUHRC, Pune, India.
Pooja Nirwan Department of Anaesthesiology, SKNMC & GH, Pune, India.
Dhiraj Chopra Department of Anaesthesiology, SKNMC & GH, Pune, India.

DOI: https://doi.org/10.18502/aacc.v10i2.15071

Keywords: Acquired tracheoesophageal fistula; Cross-table ventilation; Awake fiberoptic intubation

Abstract

We report a case of 30-year male who presented with Acquired Tracheoesophageal Fistula with subglottic stenosis and Aspiration Pneumonitis. Patient was managed with Feeding Jejunostomy, Tracheoesophageal Fistula repair and Tracheoplasty, after which patient recovered well. Difficult airway was managed by Awake Fiberoptic Intubation and cross-table ventilation through flexometallic tube intraoperatively during TEF repair.