title: Anesthesia management of a patient with a laryngotracheo-esophageal cleft.
abstract: Laryngotracheo-esophageal cleft is a rare congenital anomaly that results from complete or partial failure of the development of the tracheoesophageal septum. The presenting symptoms include stridor, respiratory distress, and coughing or cyanotic episodes with feeding. There are four classifications for laryngeal clefts; the severity depends on the type present. We discuss the anesthesia management of a neonate with a Type IV cleft who presented for an emergency gastric division to prevent pulmonary aspiration and later returned for final repair of the defect.
authors.affiliation: Department of Anesthesiology and Critical Care, Nemours Cardiac Center, Alfred I. duPont Hospital for Children, Wilmington, DE 19899, USA. larai@nemours.org
authors.forename: Lynda R
authors.initials: LR
authors.lastname: Arai
authors.forename: Sabina
authors.initials: S
authors.lastname: Dicindio
authors.forename: Steven P
authors.initials: SP
authors.lastname: Cook
authors.forename: Deborah A
authors.initials: DA
authors.lastname: Davis
mesh_terms: D000758:Anesthesia / Q000379:methods*; D018685:Anesthetics, Inhalation / Q000008:administration & dosage; D018686:Anesthetics, Intravenous / Q000008:administration & dosage; D002315:Cardiopulmonary Bypass / Q000379:methods; D004947:Esophagus / Q000002:abnormalities* / Q000601:surgery; D005260:Female; D005774:Gastrostomy / Q000379:methods; D006801:Humans; D007231:Infant, Newborn; D007442:Intubation, Intratracheal / Q000379:methods; D007530:Isoflurane / Q000008:administration & dosage; D007830:Larynx / Q000002:abnormalities* / Q000601:surgery; D003473:Neuromuscular Nondepolarizing Agents / Q000008:administration & dosage; D010197:Pancuronium / Q000008:administration & dosage; D010880:Piperidines / Q000008:administration & dosage; D011015:Pneumonia, Aspiration / Q000150:complications; D035583:Rare Diseases; D000077208:Remifentanil; D012720:Severity of Illness Index; D014139:Tracheostomy; D016896:Treatment Outcome; D014673:Vecuronium Bromide / Q000008:administration & dosage
chemical_list: D018685:Anesthetics, Inhalation; D018686:Anesthetics, Intravenous; D003473:Neuromuscular Nondepolarizing Agents; D010880:Piperidines; D014673:Vecuronium Bromide; D007530:Isoflurane; D010197:Pancuronium; D000077208:Remifentanil