oa Southern African Journal of Anaesthesia and Analgesia - Anaesthesia for oesophageal atresia with or without tracheo-oesophageal atresia : review
|Article Title||Anaesthesia for oesophageal atresia with or without tracheo-oesophageal atresia : review|
|© Publisher:||Medpharm Publications|
|Journal||Southern African Journal of Anaesthesia and Analgesia|
|Affiliations||1 Charlotte Mxeke Johannesburg Academic Hospital and 2 University of the Witwatersrand|
|Publication Date||Jan 2014|
|Pages||19 - 25|
|Keyword(s)||Anaesthetic management, Oesophageal atresia and Tracheo-oesophageal fistula|
Oesophageal atresia, with or without tracheo-oesophageal fistula, is one of the most challenging conditions with which the anaesthesiologist has to deal during the perioperative period. The patients are usually in their first few days of life, and might be premature with inherent airway problems. This is then compounded by airway and respiratory complications presented by this lesion. These patients often present with a multitude of other congenital anomalies that may have a bearing on the oxygen cascade. With improvements in antibiotic choices, prenatal diagnosis, neonatal intensive care and surgical options, outcomes in this patient group have improved immensely. This manuscript serves to highlight the anaesthetic considerations of these conditions, while also examining recent developments in this patient population.
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