Abstract

BENALCAZAR VILLACRESES, Diana; OJEDA GONZALEZ, José  and  MOREJóN HERNANDEZ, Juana. Anesthesia management of esophageal atresia and tracheoesophageal fistula in neonates. Case presentation. Medisur [online]. 2017, vol.15, n.4, pp.557-561. ISSN 1727-897X.

Esophageal atresia is an infrequent congenital malformation incompatible with life and a neonatal surgical urgency. The most common presentation is esophageal atresia with distal tracheoesophageal fistula (80-90 % of cases). It presents in one of every 3000 births. For these reasons, the case of a preterm infant, 48 hours of birth, 1245 grams weight, APGAR 8/9, with diagnosis of esophageal atresia and tracheo-esophageal fistula type lllb / C is presented. She was diagnosed at birth, due to the presence of projectile vomiting, respiratory distress and the impossibility of introducing a naso-gastric tube and confirmed when seen on a chest x-ray. It was announced for surgery in which fistula repair was performed. We present the anesthetic considerations to be followed in the management of this case, related to: anesthetic drugs, volume replacement and mechanical ventilation strategy. Favorable results were obtained.

Keywords : esophageal atresia; tracheoesophageal fistula; anesthesia; infant, newborn; surgical procedures, operative; thoracic surgery.

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