Tracheoesophageal Fistula Repair

Perioperative Period ◽

Positive Pressure ◽

Fistula Repair ◽

Risk Of Aspiration ◽

Associated Abnormalities

Tracheoesophageal fistula (TEF) and esophageal atresia (EA) is a congenital malformation occurring in 1:3,000 to 4,500 births. The condition presents specific challenges to the anesthesiologist in the perioperative period. The presence of a fistula means that infants born with TEF/EA are at risk of aspiration and positive-pressure ventilation may be hazardous. These babies often have coexistent problems associated with prematurity and low birth weight, and 50% have associated abnormalities, most commonly congenital cardiac malformations.

Comparing the effects of nasal synchronized intermittent positive pressure ventilation (nSIPPV) and nasal continuous positive airway pressure (nCPAP) after extubation in very low birth weight infants

Early Human Development ◽

10.1016/s0378-3782(99)00046-8 ◽

1999 ◽

Vol 56 (2-3) ◽

pp. 167-177 ◽

Cited By ~ 91

Author(s):

Corrado Moretti ◽

Camilla Gizzi ◽

Paola Papoff ◽

Simona Lampariello ◽

Marco Capoferri ◽

...

Keyword(s):

Birth Weight ◽

Continuous Positive Airway Pressure ◽

Low Birth Weight ◽

Airway Pressure ◽

Very Low Birth Weight ◽

Positive Airway Pressure ◽

Positive Pressure ◽

Colonic interposition for oesophageal replacement surgery in a patient with left broncho-oesophageal fistula: anaesthetic management

BMJ Case Reports ◽

10.1136/bcr-2021-243738 ◽

2021 ◽

Vol 14 (8) ◽

pp. e243738

Author(s):

Kavitha Girish ◽

Ameya Pappu ◽

Rashmi Ramachandran ◽

Vimi Rewari

Keyword(s):

Perioperative Period ◽

Anaesthetic Management ◽

Double Lumen Tube ◽

Positive Pressure ◽

Colonic Interposition ◽

Double Lumen ◽

Lumen Tube ◽

Replacement Surgery ◽

Risk Of Aspiration

Management of an uncorrected broncho-oesophageal fistula in the perioperative period is a challenge for the anaesthesiologist. Positive pressure ventilation which is inevitable during surgery will lead to gastric insufflation and there is a high risk of aspiration of gastric contents. In this case report, we discuss how we used a double lumen tube to occlude a pericarinal broncho-oesophageal fistula. This method was quite effective as it obviated the need for isolating the lung as well as ensured smooth delivery of positive pressure ventilation during the surgery.

The Outcome of Death or Moderate-to-Severe Bronchopulmonary Dysplasia in Extremely Low Birth Weight Infants is Equivalent with Bilevel- or Ventilator-Delivered Nasal Intermittent Positive Pressure Ventilation

Paediatrics & Child Health ◽

10.1093/pch/18.suppl_a.8ab ◽

2013 ◽

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Bronchopulmonary Dysplasia ◽

Positive Pressure ◽

Randomized Control Trial: Synchronized Non-Invasive Positive Pressure Ventilation (sNIPPV) with Neurally Assisted Ventilatory Assist (NAVA) Versus NIPPV in Extremely Low Birth Weight Infants

10.1164/ajrccm-conference.2019.199.1_meetingabstracts.a1891 ◽

2019 ◽

Author(s):

S. Amatya ◽

L.A. Parton

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Randomized Control Trial ◽

Positive Pressure ◽

Low Birth Weight Infants ◽

Non Invasive ◽

Ventilatory Assist ◽

Randomized Control

Nasal Intermittent Positive Pressure Ventilation (NIPPV) Does not Confer Benefit Over Nasal Cpap (NCPAP) in Extremely Low Birth Weight (ELBW) Infants - The Nippv International Randomized Controlled Trial (RCT)

Paediatrics & Child Health ◽

10.1093/pch/17.suppl_a.8ab ◽

2012 ◽

Vol 17 (suppl_A) ◽

pp. 8A-9A

Author(s):

B Lemyre ◽

H Kirpalani ◽

D Millar ◽

B Yoder ◽

A Chiu ◽

...

Keyword(s):

Randomized Controlled Trial ◽

Birth Weight ◽

Low Birth Weight ◽

Controlled Trial ◽

Positive Pressure ◽

Nasal Cpap ◽

Randomized Controlled

Echocardiographic detection of pulmonary hypertension in extremely low birth weight infants with bronchopulmonary dysplasia requiring prolonged positive pressure ventilation

Journal of Perinatology ◽

10.1038/jp.2010.213 ◽

2011 ◽

Vol 31 (10) ◽

pp. 635-640 ◽

Cited By ~ 121

Author(s):

J L Slaughter ◽

T Pakrashi ◽

D E Jones ◽

A P South ◽

T A Shah

Keyword(s):

Pulmonary Hypertension ◽

Birth Weight ◽

Low Birth Weight ◽

Bronchopulmonary Dysplasia ◽

Positive Pressure ◽

Decrease in delivery room intubation rates after use of nasal intermittent positive pressure ventilation in the delivery room for resuscitation of very low birth weight infants

Resuscitation ◽

10.1016/j.resuscitation.2017.05.004 ◽

2017 ◽

Vol 116 ◽

pp. 33-38 ◽

Cited By ~ 6

Author(s):

Manoj Biniwale ◽

Fiona Wertheimer

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Very Low Birth Weight ◽

Delivery Room ◽

Positive Pressure ◽

Nasal intermittent positive pressure ventilation (NIPPV) does not confer benefit over nasal CPAP (NCPAP) in extremely low birth weight (ELBW) infants - an international randomised trial: Abstract G270 Table 1

Archives of Disease in Childhood ◽

10.1136/archdischild-2012-301885.319 ◽

2012 ◽

Vol 97 (Suppl 1) ◽

pp. A133.3-A134 ◽

Cited By ~ 4

Author(s):

D Millar ◽

H Kirpalani ◽

B Lemyre ◽

B Yoder ◽

A Chiu ◽

...

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Randomised Trial ◽

Positive Pressure ◽

Nasal Cpap

Airway pressure measurements during high-frequency positive pressure ventilation in extremely low birth weight neonates

Critical Care Medicine ◽

10.1097/00003246-199422091-00007 ◽

1994 ◽

Vol 22 (SUPPL.) ◽

pp. S71-S76 ◽

Cited By ~ 4

Author(s):

Alexander Roithmaier ◽

Walter Hultzsch ◽

Gert Lipowsky ◽

Dietrich Reinhardt

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

High Frequency ◽

Airway Pressure ◽

Positive Pressure ◽

Pressure Measurements

Kangaroo Mother Care Reduces Noninvasive Ventilation and Total Oxygen Support Duration in Extremely Low Birth Weight Infants

American Journal of Perinatology ◽

10.1055/s-0039-3402717 ◽

2019 ◽

Cited By ~ 1

Author(s):

Xiaohua Xie ◽

Xueyu Chen ◽

Panpan Sun ◽

Aifen Cao ◽

Yanzhu Zhuang ◽

...

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Supplemental Oxygen ◽

Kangaroo Mother Care ◽

Positive Pressure ◽

Low Birth Weight Infants ◽

Cpap Ventilation ◽

Objective Evidence ◽

Tertiary Center

Abstract Objective Evidence on the safety and influence of kangaroo mother care (KMC) in extremely low birth weight infants (ELBWIs) on ventilation is lacking. Study Design This is a retrospective cohort study performed in 145 ELBWIs on noninvasive mechanical ventilation from a tertiary center. Results The duration of nasal intermittent positive pressure ventilation (nIPPV) and continuous positive airway pressure (CPAP) ventilation was significantly shorter in infants with KMC compared with infants without (21 vs. 13.5 days, p = 0.001 and 29.5 days vs. 20.5 days, p = 0.001, respectively). The frequency of apnea during hospital stay was fewer in KMC infants, compared with no KMC (23 vs. 20 times, p = 0.002). Multiple linear regression analysis showed that KMC was an independent protective factor for shortening nIPPV/CPAP duration (β = −9.90, 95% confidence interval [CI] [−13.20, −6.60], p < 0.001), total supplemental oxygen support (β = −10.52, 95% CI [−16.73, −4.30], p = 0.001), and reducing times of apneas (β = −5.88, 95% CI [−8.56, −3.21], p < 0.001). Conclusion KMC benefits ELBWIs by shortening nIPPV/CPAP ventilation duration and total supplemental oxygen support, and reducing the frequency of apneas.