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Chapter 67 - Tracheoesophageal Fistula (TEF)

from Section 7 - Pediatric Anesthesia

Published online by Cambridge University Press:  03 August 2023

By
Sierra Ziska
Edited by
Jessica A. Lovich-Sapola
Jessica A. Lovich-Sapola
Affiliation:
Cleveland Clinic, Ohio
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Summary

A 27-year-old female presents with an uncomplicated delivery of a male neonate at an estimated gestational age of 37 weeks. In the delivery room, the nurses observe that the baby is drooling excessively and appears to be coughing and choking. Upon initiating breastfeeding, the infant becomes cyanotic. Feeding is discontinued. A nasogastric catheter is passed, and a chest X-ray reveals a distal tracheoesophageal fistula. What are your concerns? How will you induce anesthesia? How would you intubate this patient? When would you extubate?

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Type
Chapter
Information
Anesthesia Oral Board Review
Knocking Out The Boards
 , pp. 286 - 287
Publisher: Cambridge University Press
Print publication year: 2023

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References

Achildi, O, Grewal, H. Congenital anomalies of the esophagus. Otolaryngol Clin N Am 2007;40:219–44.CrossRefGoogle ScholarPubMed
Cook-Sather, SD, Tulloch, H, Cnaan, A, et al. A comparison of awake versus paralyzed tracheal intubation for infants with pyloric stenosis. Anesth Analg 1998;86:945–51.Google ScholarPubMed
Iaconoa, R, Saxena, V, Amulya, K. Thoracoscopic repair of esophageal atresia with distal tracheoesophageal fistula (Type C): systematic review. Surg Laparosc Endosc Percutan Tech 2020;30(4):388–93.Google Scholar
Liu, H, Le, C, Chen, J, et al. Anesthesia management of neonatal thoracoscopic surgery. Transl Pediatr 2021;10(8):2035–43.Google Scholar
Motoyama, EK, Davis, PJ. Smith’s Anesthesia for Infants and Children, 7th ed. Philadelphia: Mosby Elsevier, 2006, pp. 550–2.Google Scholar
Spitz, L. Oesophageal atresia. Ophanet J Rare Dis 2007;2:24–37.CrossRefGoogle ScholarPubMed

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