Ineffective ventilation in a very low birth weight infant with H-type Tracheoesophageal Fistula with bilateral chemical pneumonitis. A lesson learned

Faraz Ahmad; Sana Niaz; Naveed Durrani; Vikram Kumar

doi:10.12669/pjms.40.2(ICON).8958

Ineffective ventilation in a very low birth weight infant with H-type Tracheoesophageal Fistula with bilateral chemical pneumonitis. A lesson learned

Pak J Med Sci. 2024 Jan;40(2ICON Suppl):S91-S93. doi: 10.12669/pjms.40.2(ICON).8958.

Authors

Faraz Ahmad¹, Sana Niaz², Naveed Durrani³, Vikram Kumar⁴

Affiliations

¹ Dr. Faraz Ahmad Junior Consultant Neonatology, Sindh Institute of Child Health and Neonatology, Karachi, Pakistan.
² Dr. Sana Niaz Consultant Neonatologist, Indus Hospital and Health Network, Karachi, Pakistan.
³ Dr. Naveed Durrani Neonatologist Sidra Medicine, Doha Qatar. Assistant Professor, Clinical Pediatrics, Weill Cornell Medicine, Doha, Qatar.
⁴ Dr. Vikram Kumar Consultant Neonatologist, Indus Hospital and Health Network, Karachi, Pakistan.

Abstract

Tracheoesophageal fistula (TEF) with or without associated esophageal atresia (EA) in the neonate is challenging to diagnose and manage its complications like aspiration, respiratory distress, and other associated anomalies. To stabilize, ventilate and prepare for surgical correction, understanding the H-nature of disease and anticipation of problems and their management will improve survival. We present a newborn with tracheoesophageal fistula without atresia from resource-limited settings and lessons we learned from the case.

Keywords: Chemical pneumonitis; H-Type Tracheoesophageal fistula; Ineffective ventilation; Ventilation corrective strategies.

Publication types

Case Reports