Intraoperative fibreoptic bronchoscopy during neonatal tracheo-oesophageal fistula ligation and oesophageal atresia repair

被引:8
作者
De Gabriele, LC
Cooper, MG
Singh, S
Pitkin, J
机构
[1] Royal Alexandra Hosp Children, Dept Anaesthesia, Sydney, NSW, Australia
[2] Royal Alexandra Hosp Children, Dept Surg, Sydney, NSW, Australia
关键词
airway; intubation; bronchoscopy; neonate; tracheo-oesophageal fistula;
D O I
10.1177/0310057X0102900312
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Maintenance of adequate ventilation under anaesthesia can be difficult during identification and ligation of congenital tracheo-oesophageal fistula with repair of oesophageal atresia. Anaesthesia may also be complicated by problems associated with prematurity, pre-existing aspiration pneumonitis, and difficulty positioning the endotracheal tribe to pr event inflation of the stomach with increased risk of aspiration and diaphragmatic splinting. Even intubation of the fistula and gastric rupture may occur: Two neonatal cases are presented where use of a 2.2 mm neonatal bronchoscope passed through a 3.0 mm ID tracheal tube facilitated surgical identification of the fistula, diagnosis of fistula intubation and other airway problems intraoperatively.
引用
收藏
页码:284 / 287
页数:4
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