RT Book, Section
A1 Barrie, Jamie
A1 Jivan, Kuntal
A2 Freeman, Brian S.
A2 Berger, Jeffrey S.
SR Print(0)
ID 1135742431
T1 Tracheoesophageal Fistula and Esophageal Atresia
T2 Anesthesiology Core Review: Part Two Advanced Exam
YR 2016
FD 2016
PB McGraw-Hill Education
PP New York, NY
SN 9781259641770
LK accessanesthesiology.mhmedical.com/content.aspx?aid=1135742431
RD 2024/04/23
AB Esophageal  atresia  and  tracheoesophageal  fistula  (TEF)  are  often  association  with  other  anomalies.  The  most  common  congenital  abnormality  is  the  VACTERL  association  (vertebral  defects,  imperforate  anus,  cardiac  defects,  TE  fistula,  radial  aplasia,  limb  anomalies).  A  thorough  evaluation  for  these  additional  defects,  especially  cardiac,  should  be  undertaken  in  these  infants.  The  severity  of  illness  can  be  mild  (e.g.,  feeding  difficulties  in  a  full-term  neonate  with  no  respiratory  distress),  but  some  patients  are  critically  ill.  Severe  respiratory  failure  can  result  from  continuous  aspiration  of  gastric  contents  via  the  distal  TEF,  exacerbated  by  respiratory  distress  syndrome  as  well  as  massive  abdominal  distention  from  filling  of  the  stomach  with  gas  from  the  TEF.