DOI: 10.36347/sjmcr.2014.v02i05.006

Pages: 328-329

Neonates with tracheoesophageal fistula (TEF) carry risk for gastric distention and pneumoperitoneum. Anaesthetic management involves airway management, anaesthetic induction and monitorization, control of postoperative trends. Anaesthetic management focuses on lung ventilation rather than fistula ventilation. Technique involves avoiding muscle relaxation and not to apply excessive positive pressure until fistula is controlled. Patients with medical history including tracheoesophageal fistula repair may have gastroesophageal reflux, tracheomalacia, obstructive and restrictive pulmonary diseases, airway reactivity and recurrent pneumonia. This article aimed to identify anaesthetic challenges and to emphasize the necessity of providing a safe airway primarily and an effective pulmonary ventilation with a minimal transition through gastrointestinal tract in such a case that needed emergency surgery due to tracheoesophageal fistula and esophageal atresia in the neonatal period.