Medicine · 2026
Anesthetic management of a gross type C tracheoesophageal fistula by balloon catheter via tracheostoma in an infant with trisomy 18: A Case Report.
СтатьяКлинический случайНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Ryo Masato, Ishida Yusuke, Hosokawa Maiko, Bito Kiyoko, Oe Katsunori
Аннотация
RATIONALE: Gross Type C congenital esophageal atresia is associated with tracheoesophageal fistula (TEF). Perioperative airway management, including prevention of aspiration of gastric contents, is important. Generally, the TEF is blocked by 1-lung intubation of the dependent lung, or directly by insertion of a balloon catheter. This case report describes successful management of TEF by insertion of a balloon catheter via tracheostoma in an infant with a difficult airway.
PATIENT CONCERNS: A boy with trisomy 18 underwent esophageal banding and gastrostomy for Gross Type C congenital esophageal atresia on postnatal day 3. Tracheostomy was performed on day 49, and definitive surgery for TEF was scheduled on day 83.
DIAGNOSES: The boy was diagnosed with Gross Type C congenital esophageal atresia shortly after birth.
INTERVENTIONS: The patient was re-intubated orotracheally in the NICU. Oral insertion of a 4Fr Fogarty catheter to block the TEF was difficult. Insertion through the available tracheostoma was easier.
OUTCOMES: We confirmed that the catheter could be guided to the TEF entrance using a bronchoscope, and the balloon was expanded to block the TEF. During surgery, there were no problems with airway management.
LESSONS: In the management of TEF in children after tracheostomy, if oral insertion of the balloon catheter proves difficult, insertion via the tracheostoma may be effective.
PATIENT CONCERNS: A boy with trisomy 18 underwent esophageal banding and gastrostomy for Gross Type C congenital esophageal atresia on postnatal day 3. Tracheostomy was performed on day 49, and definitive surgery for TEF was scheduled on day 83.
DIAGNOSES: The boy was diagnosed with Gross Type C congenital esophageal atresia shortly after birth.
INTERVENTIONS: The patient was re-intubated orotracheally in the NICU. Oral insertion of a 4Fr Fogarty catheter to block the TEF was difficult. Insertion through the available tracheostoma was easier.
OUTCOMES: We confirmed that the catheter could be guided to the TEF entrance using a bronchoscope, and the balloon was expanded to block the TEF. During surgery, there were no problems with airway management.
LESSONS: In the management of TEF in children after tracheostomy, if oral insertion of the balloon catheter proves difficult, insertion via the tracheostoma may be effective.