Ultrasound-guided selective intubation in a preterm neonate undergoing type-C esophageal athresia correction. Case report

  • Angélica Paola Fajardo-Escolar a. School of Medicine, Pontificia Universidad Javeriana, Bogotá, Colombia. b. Hospital Universitario San Ignacio, Pontificia Universidad Javeriana, Bogotá, Colombia
  • Antonio José Bonilla-Ramírez a. School of Medicine, Pontificia Universidad Javeriana, Bogotá, Colombia. b. Hospital Universitario San Ignacio, Pontificia Universidad Javeriana, Bogotá, Colombia
  • Vera Winograd Gómez Resident in anesthesiology, Hospital Universitario San Ignacio, Pontificia Universidad Javeriana, Bogotá, Colombia
Keywords: Intubation; Ultraso-nography; Infant; Newborn; Tra-cheoesophageal Fistula; Anesthesia

Abstract

Introduction:

Neonatal patients presenting with tracheoesophageal fistula represent a challenge to the anesthesiologist due to the multiple difficulties this pathology involves for airway management.

Case discussion:

Following is a description of a case of a neonate undergoing tracheoesophageal fistula repair using ultrasound-guided orotracheal intubation as an adjunct to selective intubation.

Conclusion:

Perioperative ultrasound is a promising tool for airway management of the pediatric patient. Further studies to assess the possibility to position the technique as a standard of care are needed.

References

1. Ho A, Dion J, Wong J. Airway and ventilatory management options in congenital tracheoesophageal fistula repair. J Cardiothorac Vasc Anesth 2016;30:515-520.
2. Seltz Kristensen M, Teoh W. The Ultrasound Probe in the Hands of the Anesthesiologist: A Powerful New Tool for Airway Management. Anesthesiology News Guide for Airway Management. Consultado 05 Dic 17. Disponible en: http://www.csen.com/ultrair.pdf.
3. Stefanidis K, Dimopoulos S, Nanas S. Basic principles and current applications of lung ultrasonography in the intensive care unit. Respirology 2011;16:249-256.
4. Skubas NJ. Teaching whole body point-of-care ultrasound: advancing the skills of tomorrow’s anesthesiologists. Anesthesiology 2015;123:499-500.
5. Ramsingh D, Rinehart J, Kain Z, et al. Impact assessment of perioperative point-of-care ultrasound training on anesthesiology residents. Anesthesiology 2015;123:670-682.
6. Nam J, Park I, Seo H, et al. The use of lung ultrasonography to confirm lung isolation in an infant who underwent emergent video-assisted thoracoscopic surgery: a case report. Korean J Anesth 2015;68:411-414.
7. Terkawi A, Karakitsos D, Elbarbary M, et al. Ultrasound for the anesthesiologists: present and future. Sci World J 2013;20:683-685.
How to Cite
1.
Fajardo-Escolar AP, Bonilla-Ramírez AJ, Winograd Gómez V. Ultrasound-guided selective intubation in a preterm neonate undergoing type-C esophageal athresia correction. Case report. Colomb. J. Anesthesiol. [Internet]. 2018 Jan. 1 [cited 2024 Apr. 25];46(1):75-8. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/331

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Published
2018-01-01
How to Cite
1.
Fajardo-Escolar AP, Bonilla-Ramírez AJ, Winograd Gómez V. Ultrasound-guided selective intubation in a preterm neonate undergoing type-C esophageal athresia correction. Case report. Colomb. J. Anesthesiol. [Internet]. 2018 Jan. 1 [cited 2024 Apr. 25];46(1):75-8. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/331
Section
Case Report / Case Series

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