Airway Management of Esophageal Atresia and Tracheoesophageal Fistula Combined with Anal Atresia. (5th September 2022)

• Record Type: Journal Article
• Authors: Zhou, Jieshu; Li, Hao; Lin, Xuemei
• Other Names: Bhardwaj Neerja Academic Editor.
• Is Part Of: Case reports in anesthesiology. Volume 2022(2022)
• Publication Date: 2022-09-05
• Subjects: Anesthesiology -- Periodicals; 617.9605
• DOI: 10.1155/2022/3775140
• Languages: English
• ISSNs: 2090-6382

Abstract

Abstract : Esophageal atresia (EA) associated with tracheoesophageal fistula (TEF) is a common congenital airway anomaly and may be associated with other gastrointestinal abnormalities. Neonates with EA/TEF are at high risk of gastrointestinal distension due to the shunting of air via the fistula, leading to progressive diaphragmatic elevation and regurgitation of the gastrointestinal contents. EA/TEF associated with anal atresia in a neonate makes airway management even more challenging particularly when managed for the repair of TEF through thoracotomy. Here, we report a case where we succeeded in conducting the flexible bronchoscopy insertion through a laryngeal mask to block the fistula by bronchial blocker under spontaneous breathing.