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Anesthesia Practice: Review of Perioperative Management of H-Type Tracheoesophageal Fistula
Joint Authors
Yarmush, Joel
Edelman, Bret
Patil, Uday
Joshi, Minal
Jebaraj, Bright
Source
Anesthesiology Research and Practice
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-11-03
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Tracheoesophageal fistula (TEF) is a rare congenital developmental anomaly, affecting 1 in 2500–3000 live births.
The H-type TEF, consisting of a fistula between the trachea and a patent esophagus, is one of the rare anatomic subtypes, accounting for 4% of all TEFs.
The presentation and perioperative management of neonates with H-type TEFs and all other TEFs are very similar to each other.
Patients present with congenital heart disease and other defects and are prone to recurrent aspirations.
A barium esophagogram or computed tomography of the chest is a common means to the diagnosis, and surgical repair is carried out through either a cervical approach or a right thoracotomy.
During operation, anesthetic management is focused on preventing positive pressure ventilation through the fistula in an attempt to minimize gastric distension.
For patients with H-type TEFs, because of the patent esophagus, symptoms are often less severe and nonspecific, resulting in subtle yet important differences in their diagnostic workup and management.
This review will cover the finer details in the diagnosis and perioperative anesthetic management of TEF patients and clarify how H-type TEF distinguishes itself from the other anatomic subtypes.
American Psychological Association (APA)
Edelman, Bret& Jebaraj, Bright& Joshi, Minal& Patil, Uday& Yarmush, Joel. 2019. Anesthesia Practice: Review of Perioperative Management of H-Type Tracheoesophageal Fistula. Anesthesiology Research and Practice،Vol. 2019, no. 2019, pp.1-5.
https://search.emarefa.net/detail/BIM-1122325
Modern Language Association (MLA)
Edelman, Bret…[et al.]. Anesthesia Practice: Review of Perioperative Management of H-Type Tracheoesophageal Fistula. Anesthesiology Research and Practice No. 2019 (2019), pp.1-5.
https://search.emarefa.net/detail/BIM-1122325
American Medical Association (AMA)
Edelman, Bret& Jebaraj, Bright& Joshi, Minal& Patil, Uday& Yarmush, Joel. Anesthesia Practice: Review of Perioperative Management of H-Type Tracheoesophageal Fistula. Anesthesiology Research and Practice. 2019. Vol. 2019, no. 2019, pp.1-5.
https://search.emarefa.net/detail/BIM-1122325
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1122325