Abstract
A tracheoesophageal voice prosthesis facilitates speech rehabilitation after laryngectomy (1,2). We describe the anesthetic management of a patient who required repair of a large tracheoesophageal fistula around the voice prosthesis. The requirements for access to the upper trachea excluded the use of a tracheotomy tube. Our technique of total intravenous anesthesia, spontaneous ventilation, and endotracheal O 2 insufflation provided excellent operating conditions while ensuring adequate anesthesia depth, oxygenation, and patient safety.
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