[Tube obstruction in operation of esophageal atresia. Brief review of intraoperative complications based on a case report].
In this case report we discuss the anaesthetic management of newborns with esophageal atresia classified as Vogt III b. This type is characterised by an upper esophageal pouch which ends blindly and a distal tracheoesophageal fistula. Commonly associated diseases are cardiac, renal, vertebral and anal anomalies. The most important intraoperative anaesthesiological complications are acidosis, hypoxaemia, gastric distension, endotracheal tube obstruction, tracheal compression, cardiac arrhythmias and atelectasis. In the presented case an endotracheal tube obstruction with hypercapnia occurred which required a change of the airway. After changing the endotracheal tube the newborn could be ventilated sufficiently. Further postoperative course was uneventful.
Bartz
H J
HJ
Klinik für Anästhesiologie, Universitäts-Krankenhaus Eppendorf, Hamburg. bartz@uke.uni-hamburg.de
Tonner
P H
PH
Kluth
D
D
Straub
U
U
Scholz
J
J
D000770:Anesthesia, Endotracheal; D001237:Asphyxia / Q000209:etiology; D019544:Equipment Failure Analysis; D004933:Esophageal Atresia / Q000601:surgery*; D006801:Humans; D007231:Infant, Newborn; D007442:Intubation, Intratracheal / Q000295:instrumentation*; D008297:Male; D011183:Postoperative Complications / Q000209:etiology; D012307:Risk Factors; D014138:Tracheoesophageal Fistula / Q000151:congenital* / Q000601:surgery