Anesthetic Management of an Infant With Postnatally Diagnosed Tracheal Agenesis Undergoing Tracheal Reconstruction: A Case Report. Issue 11 (1st December 2017)

• Record Type: Journal Article
• Authors: Willer, Brittany L.; Bryan, Kayla G.; Parakininkas, Daiva E.; Uhing, Michael R.; Staudt, Susan R.; Dominguez, Kathleen M.; McCormick, Michael E.; Mitchell, Michael E.; Densmore, John C.; Oldham, Keith T.; Berens, Richard J.
• Is Part Of: A & A case reports. Volume 9:Issue 11(2017:Dec. 01)
• Publication Date: 2017-12-01
• Subjects: Anesthesiology -- Periodicals; Anesthesia -- Periodicals; Anesthesiology; Analgesia; Anesthesiology; Periodicals; 617.9605
• DOI: 10.1213/XAA.0000000000000603
• Languages: English
• ISSNs: 2325-7237

Abstract

Abstract : A term infant born cyanotic failed multiple intubation attempts and tracheostomy placement. After esophageal intubation resulted in the ability to ventilate, he was presumed to have tracheal agenesis and distal bronchoesophageal fistula. He was transferred to our institution where he was diagnosed with Floyd Type II tracheal agenesis. He underwent staged tracheal reconstruction. He was discharged to home at 4 months of age with a tracheostomy collar, cervical spit fistula, and gastrostomy tube. He represents the sole survivor-to-discharge of tracheal agenesis in the United States. We describe the anesthetic considerations for a patient with tracheal agenesis undergoing reconstruction.