alexa Diagnosis and Airway Management in a Neonate with Laryngeal Atresia, Tracheal Agenesis and a Broncho-Esophageal Fistula: A Case Report
ISSN: 2155-6148

Journal of Anesthesia & Clinical Research
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Case Report

Diagnosis and Airway Management in a Neonate with Laryngeal Atresia, Tracheal Agenesis and a Broncho-Esophageal Fistula: A Case Report

Jodi Bosak1, Eric Pauli2, Mary C Santos3, Brett Engbrecht3 and Priti G Dalal4*

1Assistant Professor of Pediatric Anesthesiology, University of Florida, Gainesville, FL, USA

2Laparoendoscopic Surgery Fellow, University Hospitals Case Medical Center, 11100 Euclid Ave, Cleveland, OH, USA

3Associate Professor, Department of Pediatric Surgery, Penn State Hershey Medical Center, Hershey, PA, USA

4Associate Professor of Anesthesiology, Penn State Hershey Medical Center, USA

*Corresponding Author:
Priti G Dalal
Department of Anesthesiology, Penn State Hershey Medical Center
H187, 500 University Drive, Hershey, PA 17033, USA
E-mail: [email protected]

Received date: June 21, 2012; Accepted date: July 18, 2012; Published date: July 23, 2012

Citation: Bosak J, Pauli E, Santos MC, Engbrecht B, Dalal PG (2012) Diagnosis and Airway Management in a Neonate with Laryngeal Atresia, Tracheal Agenesis and a Broncho-Esophageal Fistula: A Case Report. J Anesth Clin Res 3:224. doi: 10.4172/2155-6148.1000224

Copyright: © 2012 Bosak J, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



Tracheal agenesis is a rare congenital anomaly that is usually fatal and occurs in approximately 1:50,000 births. The diagnosis is usually made when there is failure to perform endotracheal intubation in a neonate with severe respiratory distress and absence of audible cry. We present a case of a newborn with suspected trachea-esophageal fistula who presented to the operating room for ligation of the fistula. The diagnosis of laryngeal atresia with tracheal agenesis was made intraoperatively when attempts at surgical ligation of the fistula resulted in difficulty with ventilation and a loss of the capnograph. Ventilation of the lungs was possible with an esophageally placed tube via an esophago-bronchial fistula. This case highlights the importance and need for good communication and teamwork between surgeons, anesthesiologist, radiologist and neonatologists.

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