Resumen

DIAZ DE LA ROSA, Claudia; VEGA CARDULIS, Emilio  y  ROJAS SANTANA, Omar. Anesthetic Considerations in Newborns with Atresia and Tracheoesophageal Fistula. Rev. Cuban de Anestesiol y Reanim [online]. 2023, vol.22  Epub 01-Abr-2023. ISSN 1726-6718.

Introduction: Esophageal atresia is a rare congenital malformation, which consists of a defect in the development of the anterior intestine towards the esophagus and the trachea that occurs approximately in the fourth week of gestation. Objective: to describe the results of the anesthesiological intervention in a patient with EA and TEF, as well as the anesthetic considerations for the treatment of the entity. Case presentation: Term patient, female, white, birth weight 2880g, Apgar 8-9 at minute of life, diagnosed with esophageal atresia in the presence of respiratory distress at birth, excessive salivation with choking crisis at 6 hours of birth, and impossibility of inserting a nasogastric tube and confirmed by chest X-ray. She was announced for pediatric surgery and fistula repair was performed. The anesthetic considerations to be followed in the management of this case are exposed, related to: anesthetic drugs, volume replacement and the mechanical ventilation strategy. Favorable results were obtained. Conclusions: The urgent surgical resolution in newborns with esophageal atresia is important for their survival, to reduce complications, adverse effects due to the position and the type of intervention that patients may present, a detailed anesthetic conduct is essential. Anesthetic management represents a challenge because a multimodal approach is required pre, intra and postoperatively; airway safety and effective ventilation are the guidelines in these diseases.

Palabras clave : anesthesia; esophageal atresia; tracheoesophageal fistula; thoracic surgery.

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