When Only Esophageal Intubation Assures Ventilation: A Case Report

Sonia Duarte,Jacinta Sa,Pedro Pina

doi:10.4172/2155-6148.1000682

Sonia Duarte, Jacinta Sa + Show 1 more

Open Access

https://doi.org/10.4172/2155-6148.1000682

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Abstract

Tracheal defects can lead to difficulties in airway management in newborns. Tracheal atresia is a very rare entity with high mortality that presents a challenge to the anesthesiologist. We report a case of a newborn with tracheal atresia, esophageal atresia and double tracheoesophageal fistula, which ventilation, until the 6th day of life, was assured through an esophageal intubation.

Highlights

Trachea and esophagus begin their independence between the third and sixth gestational weeks [1]
In 1962, Floyd et al defined three types of tracheal atresia: I; II; III [1]
(3) Faro type C: total agenesis with main bronchi fusing at the carine; presence of a tracheoesophageal fistula

Summary

Introduction

Trachea and esophagus begin their independence between the third and sixth gestational weeks [1]. Tracheal atresia is a very rare entity present in about 1 in 50.000 births [1]. In 1962, Floyd et al defined three types of tracheal atresia: I (proximal trachea is absent and distal trachea presents a communication with the esophagus); II (complete tracheal atresia with normal main bronchi joining at carina with or without a tracheoesophageal fistula); III (complete atresia with separate origin of main bronchi arising from the esophagus) [1]. Neonates with tracheal atresia present with severe respiratory distress soon after birth, and intubation becomes a heavy challenge.

Results

Conclusion