Respiratory distress syndrome and tracheoesophageal fistula: management with high-frequency ventilation.
An 1180-g infant with esophageal atresia and tracheoesophageal fistula developed life-threatening respiratory distress syndrome. Conventional mechanical ventilation resulted in gastric perforation and pneumoperitoneum. High-frequency ventilation stabilized the infant, permitting distal occlusion of the esophagus with a Silastic band. Fistula ligation was subsequently performed under more optimal physiologic conditions.
Bloom
B T
BT
Division of Perinatal Medicine, HCA Wesley Medical Center, Wichita, KS 67214.
Delmore
P
P
Park
Y I
YI
Nelson
R A
RA
D004933:Esophageal Atresia / Q000150:complications*; D006612:High-Frequency Ventilation; D006801:Humans; D007230:Infant, Low Birth Weight; D007231:Infant, Newborn; D008297:Male; D012127:Respiratory Distress Syndrome, Newborn / Q000150:complications / Q000628:therapy*; D014138:Tracheoesophageal Fistula / Q000150:complications / Q000151:congenital*