Ulus Travma Acil Cerrahi Derg. 2022; 28(7): 1027-1030 | DOI: 10.14744/tjtes.2020.36155

Sengstaken-Blakemore tüpünün farklý bir endikasyonda kullanýmý: Olgu sunumu

Emin Tunç Demir¹, Mehmet Çuhadar^2
1Trakya Üniversitesi Týp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalý, Yoðun Bakým Bilim Dalý, Edirne
²Trakya Üniversitesi Týp Fakültesi, Genel Cerrahi Anabilim Dalý, Yoðun Bakým Bilim Dalý, Edirne

Trakeostomi günümüz yoðun bakýmlarýnda sýklýkla uygulanan bir iþlem haline gelmiþtir. Bazý trakeostomi komplikasyonlarý hayatý tehdit eden durumlara neden olabilmektedir. Burada, açýk cerrahi trakeostomi iliþkili nadir bir komplikasyon olan posterior trakeal membran laserasyonun yol açtýðý trakea-özefagal fistülün geniþleyerek tek pasaj haline geldiði, bir olgu sunuldu. Bu hastada konvansiyonel giriþimler ile bir sonuç alýnamadý, daha önce litaratürde rastlanýlmayan Sengstaken-Blackmore tüpü uygulanmasý ile komplikasyonlarýn önüne geçilebildiði gösterildi.

Anahtar Kelimeler: Sengstaken-Blackmore tüpü, trakeal laserasyon, trakeoözofageal fistül; trakeostomi.

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Use of Sengstaken–Blakemore tube in a different indication: A case report

Emin Tunç Demir¹, Mehmet Çuhadar^2
1Department of Anesthesiology and Reanimation, Intensive Care Science, Trakya University Faculty of Medicine, Edirne-Türkiye
²Department of General Surgery, Trakya University Faculty of Medicine, Intensive Care Science, Edirne-Türkiye

Tracheostomy has become a common procedure in today’s intensive care units. On the other hand, tracheostomy has some life-threat-ening complications. In here, we presented that an interesting case of a tracheaesophageal fistula, rare complication of surgical trache-ostomy, caused by posterior tracheal membrane laceration than has progressed to form a single passage. This passage progressively led both air trapping in gastrointestinal tract due to required mechanical ventilatory support and reflux of gastrointestinal content into tracheobronchial tree. Conventional measures were not beneficial, nor immediate surgical repair was feasible due to unstable condition of the patient. Then, a Sengstaken–Blackmore tube was introduced and overwhelmed the condition.

Keywords: Sengstaken-Blackmore tube, tracheal laceration; tracheoesophageal fistula; tracheostomy.

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