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MANAGEMENT OF ESOPHAGEAL ATRESIA AND …
MANAGEMENT OF ESOPHAGEAL ATRESIA AND tracheo - ESOPHAGEAL FISTULAW assimAbiJaoude, PGY5 Long Island College HospitalJanuary 3 days old baby girl 32 weeks gestation Emergency C/section due to PROM and fetal distress Birth weight 1670 g APGAR 5 @ 1mn and 7 @ 5mn IVF with a DONOR EGG DONOR MOTHER-25 yo healthy CARRIER/BIRTH MOTHER- 50 yo, h/o RESPIRATORY DISTRESSI ntubatedSurfactantExtubatedthe second day IN THE MEANWHILEP assed meconiumNeonatal jaundice PHOTOTHERAPYAmp/Gent for presumed SAME NIGHTR espiratory distress/labored breathingNCPAP trial IntubationNGT attempted twice w/o successABDOMINAL EXAMINATION Intubated Abdomen distended Rectal exam- meconium No other anomalies detected Labs- within WORK UPCARDIAC ECHO PDAwith left to right shunt OSTIAL ASD with left to right shuntRENAL ULTRASOUND C ESOPHAGEAL ATRESIA with distal tracheo - ESOPHAGEAL fistula proximal pouch at T4-T5 ASSOCIATED ANOMALIES Vertebral malformations PDA MANAGEMENTG astrostomyBroviaccatheter placementRight
MANAGEMENT OF ESOPHAGEAL ATRESIA AND TRACHEO - ESOPHAGEAL FISTULA Wassim Abi Jaoude, PGY5 Long Island College Hospital. January 2011. downstatesurgery.org
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