PREOPERATIVE INTUBATION OF THE DISTAL TRACHEOESOPHAGEAL FISTULA FOR GASTRIC DECOMPRESSION IN PATIENTS WITH ESOPHAGEAL ATRESIA

被引：4

作者：

SCHIMPL, G

MAYR, J

WEBER, G

SAUER, H

机构：

[1] Department of Pediatric Surgery, Graz, A-8036

[2] Institute of Anesthesiology, University of Graz, Medical School, Graz

来源：

PEDIATRIC SURGERY INTERNATIONAL | 1995年 / 10卷 / 08期

关键词：

TRACHEOESOPHAGEAL FISTULA; GASTRIC DISTENSION;

D O I：

10.1007/BF00566487

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

In patients with esophageal atresia (EA) and distal tracheoesophageal fistula (TEF) Gross type C and D, escape of ventilatory gases through the TEF exposes the stomach to gaseous distension with the risk of respiratory distress and gastric perforation. In seven patients with EA, Gross type C, primary esophagoesophagostomy was planned within the first 2 days of life. After induction of anesthesia by mask, a rigid ventilation bronchoscope was inserted into the trachea and the TEF was cannulated with a catheter that was pushed down to the stomach. After removal of the endoscope, the patient was intubated beside or over the inserted catheter. Until division and closure of the TEE continuous suction over the catheter prevented gaseous gastric distension. Intubation of a distal TEF in patients with Gross type C and D EA can easily be combined with routine preoperative bronchoscopy, and is a safe and effective method to decompress a distended stomach and prevent respiratory distress and gastric perforation during controlled ventilation.

引用

页码：523 / 524

页数：2

共 15 条

[1]

Baraka A., Slim M., Cardiac arrest during IPPV in a newborn with tracheoesophageal fistula, Anesthesiology, 32, pp. 564-565, (1970)

[2]

Donn S.M., Zak L.K., Bozynski M.E.A., Coran A.G., Oldham K.T., Use of high-frequency jet ventilation in the management of congenital tracheoesophageal fistula associated with respiratory distress syndrome, J Pediatr Surg, 25, pp. 1219-1221, (1990)

[3]

Dryden G.E., Gastric distension during tracheoesophageal fistula repair, J Indian Med Assoc, 62, pp. 46-47, (1969)

[4]

Fagelman K.M., Boyarsky A., Temporary banding of the gastroesophageal junction in the critically ill neonate with esophageal atresia and tracheoesophageal fistula, Surgery, 98, pp. 594-597, (1985)

[5]

Filston H.C., Chitwood W.R., Schkolne B., The Fogarty balloon catheter as an aid to management of the infant with esophageal atresia and tracheoesophageal fistula complicated by severe RDS or pneumonia, J Pediatr Surg, 17, pp. 149-151, (1982)

[6]

Hays D.M., Woolley M.M., Snyder W.H., Changing techniques in the management of esophageal atresia, Arch Surg, 92, pp. 611-616, (1966)

[7]

Houck W.S., Griffin J.A., Spontaneous linear tears of the stomach in the newborn infant, Ann Surg, 193, pp. 763-768, (1981)

[8]

Jones T.B., Kirchner S.G., Lee F.A., Heller R.M., Stomach rupture associated with esophageal atresia, tracheoesophageal fistula and ventilatory assistence, AJR Am J Roentgenol, 134, pp. 675-677, (1980)

[9]

Malone P.S., Kiely E.M., Brian A.J., Tracheoesophageal fistula and preoperative mechanical ventilation, Aust NZJ Surg, 60, pp. 525-528, (1990)

[10]

Richenbacher W.E., Ballantine T.V.N., Esophageal atresia, distal tracheoesophageal fistula, and air shunt that compromised mechanical ventilation, J Pediatr Surg, 25, pp. 1216-1218, (1990)

← 1 2 →