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  • Title: [Four cases of tracheoesophageal fistulas in adults in intensive care units].
    Author: Combes P, Fauvage B, Durand M.
    Journal: Ann Chir; 1992; 46(3):244-8. PubMed ID: 1605555.
    Abstract:
    Four cases of tracheo-oesophageal fistulae following mechanical ventilation are reported. The determining factors, revealing signs, and palliative and curative treatment are discussed based on a review of the literature. In this series, the tracheotomy cannula provided good protection of the upper airways in three cases of upper fistulae. In the other case, the fistula was too close to the carena, requiring the use of high frequency jet ventilation. The management of low, large fistulae is more problematic concerning the choice of technique and timing of the operation.
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