Peri-operative management of neonates with oesophageal atresia and tracheo-oesophageal fistula

Rod W Hunt; Elizabeth J Perkins; Sebastian King

doi:10.1016/j.prrv.2016.01.002

Peri-operative management of neonates with oesophageal atresia and tracheo-oesophageal fistula

Paediatr Respir Rev. 2016 Jun:19:3-9. doi: 10.1016/j.prrv.2016.01.002. Epub 2016 Jan 29.

Authors

Rod W Hunt¹, Elizabeth J Perkins², Sebastian King³

Affiliations

¹ Department of Neonatal Medicine, The Royal Children's Hospital, Melbourne; Murdoch Childrens Research Institute, Melbourne; Department of Paediatrics, University of Melbourne. Electronic address: rod.hunt@rch.org.au.
² Murdoch Childrens Research Institute, Melbourne.
³ Murdoch Childrens Research Institute, Melbourne; Department of Paediatrics, University of Melbourne; Department of Paediatric Surgery, The Royal Children's Hospital, Melbourne.

PMID: 26921972
DOI: 10.1016/j.prrv.2016.01.002

Abstract

Oesphageal atresia is a relatively common congenital anomaly that requires urgent diagnosis, transfer to a neonatal surgical centre and management by a multidisciplinary team. Peri-operative management requires vigilant monitoring for the many possible associated morbidities. There are unique anaesthetic, airway and ventilatory considerations for this group of patients. Beyond the perinatal period, systematic neurodevelopmental follow-up is recommended to better understand the longer term outcomes for these children.

Keywords: Oesophageal atresia (OA); Outcomes; Peri-operative; Screening; VACTERL; Ventilation.

Publication types

Review

MeSH terms

Anesthesia, General / methods
Diagnosis, Differential
Diagnostic Imaging
Disease Management
Esophageal Atresia / diagnosis*
Esophageal Atresia / surgery*
Humans
Infant, Newborn
Monitoring, Physiologic
Nutritional Support
Postoperative Complications
Respiration, Artificial / methods
Tracheoesophageal Fistula / diagnosis*
Tracheoesophageal Fistula / surgery*