Abstract
Tracheal agenesis is a rare congenital anomaly that is usually fatal and occurs in approximately 1:50,000 births. The diagnosis is usually made when there is failure to perform endotracheal intubation in a neonate with severe respiratory distress and absence of audible cry. We present a case of a newborn with suspected trachea-esophageal fistula who presented to the operating room for ligation of the fistula. The diagnosis of laryngeal atresia with tracheal agenesis was made intraoperatively when attempts at surgical ligation of the fistula resulted in difficulty with ventilation and a loss of the capnograph. Ventilation of the lungs was possible with an esophageally placed tube via an esophago-bronchial fistula. This case highlights the importance and need for good communication and teamwork between surgeons, anesthesiologist, radiologist and neonatologists.
| Original language | English (US) |
|---|---|
| Journal | Journal of Anesthesia and Clinical Research |
| Volume | 3 |
| Issue number | 7 |
| DOIs | |
| State | Published - Jul 1 2012 |
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All Science Journal Classification (ASJC) codes
- Anesthesiology and Pain Medicine
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Diagnosis and airway management in a neonate with laryngeal atresia, tracheal agenesis and a broncho-esophageal fistula : A case report. / Bosak, Jodi; Pauli, Eric; Santos, Mary C.; Engbrecht, Brett; Dalal, Priti G.
In: Journal of Anesthesia and Clinical Research, Vol. 3, No. 7, 01.07.2012.Research output: Contribution to journal › Article
TY - JOUR
T1 - Diagnosis and airway management in a neonate with laryngeal atresia, tracheal agenesis and a broncho-esophageal fistula
T2 - A case report
AU - Bosak, Jodi
AU - Pauli, Eric
AU - Santos, Mary C.
AU - Engbrecht, Brett
AU - Dalal, Priti G.
PY - 2012/7/1
Y1 - 2012/7/1
N2 - Tracheal agenesis is a rare congenital anomaly that is usually fatal and occurs in approximately 1:50,000 births. The diagnosis is usually made when there is failure to perform endotracheal intubation in a neonate with severe respiratory distress and absence of audible cry. We present a case of a newborn with suspected trachea-esophageal fistula who presented to the operating room for ligation of the fistula. The diagnosis of laryngeal atresia with tracheal agenesis was made intraoperatively when attempts at surgical ligation of the fistula resulted in difficulty with ventilation and a loss of the capnograph. Ventilation of the lungs was possible with an esophageally placed tube via an esophago-bronchial fistula. This case highlights the importance and need for good communication and teamwork between surgeons, anesthesiologist, radiologist and neonatologists.
AB - Tracheal agenesis is a rare congenital anomaly that is usually fatal and occurs in approximately 1:50,000 births. The diagnosis is usually made when there is failure to perform endotracheal intubation in a neonate with severe respiratory distress and absence of audible cry. We present a case of a newborn with suspected trachea-esophageal fistula who presented to the operating room for ligation of the fistula. The diagnosis of laryngeal atresia with tracheal agenesis was made intraoperatively when attempts at surgical ligation of the fistula resulted in difficulty with ventilation and a loss of the capnograph. Ventilation of the lungs was possible with an esophageally placed tube via an esophago-bronchial fistula. This case highlights the importance and need for good communication and teamwork between surgeons, anesthesiologist, radiologist and neonatologists.
UR - http://www.scopus.com/inward/record.url?scp=84880032263&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84880032263&partnerID=8YFLogxK
U2 - 10.4172/2155-6148.1000224
DO - 10.4172/2155-6148.1000224
M3 - Article
AN - SCOPUS:84880032263
VL - 3
JO - Journal of Anesthesia and Clinical Research
JF - Journal of Anesthesia and Clinical Research
SN - 2155-6148
IS - 7
ER -