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Airway Management of Esophageal Atresia and Tracheoesophageal Fistula Combined with Anal Atresia

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 p...

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Detalles Bibliográficos
Autores principales: Zhou, Jieshu, Li, Hao, Lin, Xuemei
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9467743/
https://www.ncbi.nlm.nih.gov/pubmed/36106199
http://dx.doi.org/10.1155/2022/3775140
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author Zhou, Jieshu
Li, Hao
Lin, Xuemei
author_facet Zhou, Jieshu
Li, Hao
Lin, Xuemei
author_sort Zhou, Jieshu
collection PubMed
description 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.
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spelling pubmed-94677432022-09-13 Airway Management of Esophageal Atresia and Tracheoesophageal Fistula Combined with Anal Atresia Zhou, Jieshu Li, Hao Lin, Xuemei Case Rep Anesthesiol Case Report 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. Hindawi 2022-09-05 /pmc/articles/PMC9467743/ /pubmed/36106199 http://dx.doi.org/10.1155/2022/3775140 Text en Copyright © 2022 Jieshu Zhou et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Zhou, Jieshu
Li, Hao
Lin, Xuemei
Airway Management of Esophageal Atresia and Tracheoesophageal Fistula Combined with Anal Atresia
title Airway Management of Esophageal Atresia and Tracheoesophageal Fistula Combined with Anal Atresia
title_full Airway Management of Esophageal Atresia and Tracheoesophageal Fistula Combined with Anal Atresia
title_fullStr Airway Management of Esophageal Atresia and Tracheoesophageal Fistula Combined with Anal Atresia
title_full_unstemmed Airway Management of Esophageal Atresia and Tracheoesophageal Fistula Combined with Anal Atresia
title_short Airway Management of Esophageal Atresia and Tracheoesophageal Fistula Combined with Anal Atresia
title_sort airway management of esophageal atresia and tracheoesophageal fistula combined with anal atresia
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9467743/
https://www.ncbi.nlm.nih.gov/pubmed/36106199
http://dx.doi.org/10.1155/2022/3775140
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