Diagnosis and airway management in a neonate with laryngeal atresia, tracheal agenesis and a broncho-esophageal fistula

A case report

Research output: Contribution to journalArticle

2 Citations (Scopus)

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 languageEnglish (US)
JournalJournal of Anesthesia and Clinical Research
Volume3
Issue number7
DOIs
StatePublished - Jul 1 2012

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Esophageal Fistula
Airway Management
Fistula
Ligation
Ventilation
Bronchial Fistula
Newborn Infant
Intratracheal Intubation
Operating Rooms
Trachea
Communication
Parturition
Lung
Tracheal agenesis
Surgeons
Neonatologists
Radiologists
Anesthesiologists

All Science Journal Classification (ASJC) codes

  • Anesthesiology and Pain Medicine

Cite this

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title = "Diagnosis and airway management in a neonate with laryngeal atresia, tracheal agenesis and a broncho-esophageal fistula: A case report",
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.",
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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 Catherine

AU - Engbrecht, Brett

AU - Dalal, Priti

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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.

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