Acquired Tracheoesophageal Fistula in a Premature Infant

ABSTRACT A fatality from an acquired tracheoesophageal fistula (TEF) in a very low birthweight premature infant is presented. Neonatal tracheal and esophageal injuries related to endotracheal (ET) intubation are discussed. The infant had important risk factors for the development of subglottic steno...

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Veröffentlicht in:American journal of perinatology 1993-03, Vol.10 (2), p.164-167
Hauptverfasser: Rawlings, D. Jim, Lawrence, Stewart, Goldstein, Jeffrey D.
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Lawrence, Stewart
Goldstein, Jeffrey D.
description ABSTRACT A fatality from an acquired tracheoesophageal fistula (TEF) in a very low birthweight premature infant is presented. Neonatal tracheal and esophageal injuries related to endotracheal (ET) intubation are discussed. The infant had important risk factors for the development of subglottic stenosis: birthweight less than 1000 gm, prolonged positive pressure ventilation, and repeated ET intubation. The pathologie examination was consistent with acquired fistula formation resulting from a combination of preexisting subglottic stenosis and prolonged and repeated ET intubation. The recognition of clinical signs of an acquired TEF, as observed in our patient, followed by expeditious diagnostic testing may be lifesaving.
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subjects Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Emergency and intensive care: neonates and children. Prematurity. Sudden death
Female
Glottis
Humans
Infant
Infant, Low Birth Weight
Infant, Newborn
Infant, Premature, Diseases - etiology
Intensive care medicine
Intubation, Intratracheal - adverse effects
Laryngostenosis - complications
Medical sciences
ORIGINAL ARTICLE
Tracheal Stenosis - complications
Tracheoesophageal Fistula - etiology
title Acquired Tracheoesophageal Fistula in a Premature Infant
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