Peri-anesthetic management of tracheo-esophageal fistula.
During a 3-year period 11 neonates underwent general anesthesia for primary repair of tracheo-esophageal fistula (TEF). The age ranged from 1-10 days. Out of these patients, 8 (72.7%) had atresia of the esophagus with a blind upper pouch and lower segment communicating with a trachea. A total of 7 patients (63.6%) had aspiration pneumonitis pre-operatively. Intubation was difficult in 3 (27.3%). There was no intraoperative mortality. However, the incidence of post-operative mortality was 27.3% (3 cases). The cause of death in all these cases was severe non-resolving pneumonia.
Khan
R M
RM
Department of Anesthesiology and Surgery, J.N. Medical College, Aligarh Muslim University.
Khan
T Z
TZ
Chana
R S
RS
Zafaruddin
M
M
Haq
G
G
D000768:Anesthesia, General; D004933:Esophageal Atresia / Q000601:surgery*; D006801:Humans; D007231:Infant, Newborn; D016528:Postanesthesia Nursing; D011183:Postoperative Complications / Q000209:etiology; D011229:Preanesthetic Medication; D014138:Tracheoesophageal Fistula / Q000601:surgery*