Skip to main content

Anaesthetic and surgical airway management during tracheo-oesophageal fistula repair

Buy Article:

The full text article is temporarily unavailable.

We apologise for the inconvenience. Please try again later.

A retrospective review of 61 cases of airway management for newborn tracheo-oesophageal fistula (TOF)/oesophageal atresia repair is presented. Standard management included induction of general anaesthesia and muscle relaxation before tracheal intubation, rigid bronchoscopy, careful placement of the tracheal tube below the TOF if possible, and occlusion of the fistula with a Fogarty embolectomy catheter in certain high risk cases. Gastrostomy was not routinely performed. Ventilation proceeded without difficulty in 48 cases. Ventilation difficulties were encountered in 13 cases. Eight of the 13 cases had large TOF, and four had other causes of difficult ventilation not related to the fistula. No patient with a small TOF had ventilation problems because of the TOF. Three patients had a large TOF successfully occluded with an embolectomy catheter through the bronchoscope. There were no complications ascribed to this technique. An algorithm is suggested for anaesthetic-surgical airway management in these cases.
No References
No Citations
No Supplementary Data
No Article Media
No Metrics

Keywords: airway management; oe; tracheo-oesophageal fistula

Document Type: Research Article

Affiliations: Children's Hospital, Oakland, Department of Anesthesiology, 747 52nd Street, Oakland CA 94609-1809, USA

Publication date: 01 July 1998

  • Access Key
  • Free content
  • Partial Free content
  • New content
  • Open access content
  • Partial Open access content
  • Subscribed content
  • Partial Subscribed content
  • Free trial content
Cookie Policy
Cookie Policy
Ingenta Connect website makes use of cookies so as to keep track of data that you have filled in. I am Happy with this Find out more