Successful airway management with awake intubation in 40 newborns with tracheoesophageal fistula (TEF)

Abstract

Introduction: In this retrospective study a review of 40 cases of airway management for newborns with tracheoesophageal fistula (TEF) /esophageal atresia repair is presented. Almost all cases had associated cardiac anomalies. Materials and Methods: Selected management was awake intubation with flow of oxygen via Mapelson F. Sedated awake intubation was performed using Atropine 0.02 mg/kg and Fentanyl1 µg/kg, and then occlusion of the fistula with ligation. Result: In patients with small TEF, there was no problem in intubation and ventilation. Anesthesia management and post operative NICU care was performed for 26 cases with no problem, but in 14 cases there was difficulty for anesthesia management and NICU care. Conclusion: We had no complication with performing the awake intubation technique.

Keywords

• airway management
• awake intubation
• tracheoesophageal fistula
• anesthesia