AI Article Synopsis
- Tracheoesophageal fistula poses significant challenges for anesthesiologists, especially related to ventilation and oxygenation, particularly in type C fistula cases.
- Effective ventilation can be problematic because the endotracheal tube can inadvertently ventilate the fistula, leading to stomach inflation and respiratory issues.
- The report details a case involving a 3-day-old neonate with a type C tracheoesophageal fistula, emphasizing the successful use of percutaneous needle gastrostomy as a rescue technique to alleviate life-threatening hypoxia during thoracoscopic repair.
Article Abstract
Tracheoesophageal fistula offers concrete difficulties for anesthesiologists, which comprise associated congenital anomalies and more importantly the problems concerning ventilation and oxygenation. Among all the types of tracheoesophageal fistula, ventilatory problems are frequently encountered with type C fistula. Effective ventilation can be a challenge in such cases where the endotracheal tube invariably ventilates the fistula causing stomach inflation and respiratory compromise. Thorough knowledge and experience are of utmost importance when it comes to the successful airway management and better survival of neonates undergoing tracheoesophageal fistula repair. We report a case of a 3-day-old neonate, diagnosed with type C tracheoesophageal fistula and esophageal atresia posted for thoracoscopic repair. We want to highlight our experience of percutaneous needle gastrostomy done using an intravenous cannula, as a rescue measure for stomach decompression, to manage life-threatening hypoxia.
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