Tracheoesophageal Fistula and Esophageal Atresia Repair
Anesthesia Implications
Clinically reviewed by anesthesia providers · Updated
Position : Left Lateral, arms extended, Axillary roll under the dependent chest, upper arm carried forward over the head to open the fourth interspace.
Time : 2-4 hours (long)
Blood Loss : Low (10-50 ml)
Post-op Pain : High (7-10)
Maintenance Paralytic : Hold the relaxant until the fistula is divided; before that, spontaneous or gentle hand ventilation protects the stomach.
Considerations : Arterial line, Aspiration risk / Full stomach, Neonatal resuscitation / NICU standby, Ductal Dependence / Prostaglandin Infusion
Anesthetic Approaches
1GETT, Mask Induction
2GETT, TIVA, Propofol Drip, Remifentanil Drip
3GETT, Epidural
The Surgery
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