oa Southern African Journal of Anaesthesia and Analgesia - Thoracotomy in a spontaneously breathing neonate undergoing tracheo-oesophageal fistula repair : case study

Volume 19, Issue 6
  • ISSN : 2220-1181
  • E-ISSN: 2220-1173



Tracheo-oesophageal fistulae present a unique ventilator problem in the neonatal population. We describe the use of a caudal epidural catheter in a neonate who had to undergo carinal tracheo-oesophageal fistula repair. The epidural administration of a local anaesthetic enabled the provision of optimal analgesia, while simultaneously allowing maintenance of comfortable spontaneous ventilation during the thoracotomy.

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