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 |
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container_title | American journal of perinatology |
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creator | Rawlings, D. Jim 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. |
doi_str_mv | 10.1055/s-2007-994652 |
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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.</description><identifier>ISSN: 0735-1631</identifier><identifier>EISSN: 1098-8785</identifier><identifier>DOI: 10.1055/s-2007-994652</identifier><identifier>PMID: 8476483</identifier><identifier>CODEN: AJPEEK</identifier><language>eng</language><publisher>New York, NY: Thieme</publisher><subject>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</subject><ispartof>American journal of perinatology, 1993-03, Vol.10 (2), p.164-167</ispartof><rights>1993 by Thieme Medical Publishers, Inc.</rights><rights>1994 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c354t-b6ec6a7eae53c5b859d8742e25fd55b029449b0f9e8d4d40a877c8e5736de8973</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-2007-994652.pdf$$EPDF$$P50$$Gthieme$$H</linktopdf><linktohtml>$$Uhttps://www.thieme-connect.de/products/ejournals/html/10.1055/s-2007-994652$$EHTML$$P50$$Gthieme$$H</linktohtml><link.rule.ids>314,776,780,3003,3004,27903,27904,54538,54539</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3978330$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8476483$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rawlings, D. Jim</creatorcontrib><creatorcontrib>Lawrence, Stewart</creatorcontrib><creatorcontrib>Goldstein, Jeffrey D.</creatorcontrib><title>Acquired Tracheoesophageal Fistula in a Premature Infant</title><title>American journal of perinatology</title><addtitle>Amer J Perinatol</addtitle><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.</description><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Emergency and intensive care: neonates and children. Prematurity. Sudden death</subject><subject>Female</subject><subject>Glottis</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Low Birth Weight</subject><subject>Infant, Newborn</subject><subject>Infant, Premature, Diseases - etiology</subject><subject>Intensive care medicine</subject><subject>Intubation, Intratracheal - adverse effects</subject><subject>Laryngostenosis - complications</subject><subject>Medical sciences</subject><subject>ORIGINAL ARTICLE</subject><subject>Tracheal Stenosis - complications</subject><subject>Tracheoesophageal Fistula - etiology</subject><issn>0735-1631</issn><issn>1098-8785</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1993</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10D1PwzAQgGELgUopjIxIGRAThktsx_ZYVRQqVYKhzJbjXGiqfLR2MvDvSZWqG9MN9-hOegm5j-ElBiFeA00AJNWapyK5INMYtKJKKnFJpiCZoHHK4mtyE8IOIE4UqAmZKC5TrtiUqLk79KXHPNp467bYYmj3W_uDtoqWZej6ykZlE9noy2Ntu95jtGoK23S35KqwVcC705yR7-XbZvFB15_vq8V8TR0TvKNZii61Ei0K5kSmhM6V5AkmosiFyCDRnOsMCo0q5zkHq6R0CoVkaY5KSzYjT-PdvW8PPYbO1GVwWFW2wbYPRgoJkMgjpCN0vg3BY2H2vqyt_zUxmGMpE8yxlBlLDf7hdLjPaszP-pRm2D-e9jY4WxXeNq4MZ8a0HBAM7Hlk3bbEGs2u7X0zBPnn6x9VTH0y</recordid><startdate>19930301</startdate><enddate>19930301</enddate><creator>Rawlings, D. 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Sudden death</topic><topic>Female</topic><topic>Glottis</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Low Birth Weight</topic><topic>Infant, Newborn</topic><topic>Infant, Premature, Diseases - etiology</topic><topic>Intensive care medicine</topic><topic>Intubation, Intratracheal - adverse effects</topic><topic>Laryngostenosis - complications</topic><topic>Medical sciences</topic><topic>ORIGINAL ARTICLE</topic><topic>Tracheal Stenosis - complications</topic><topic>Tracheoesophageal Fistula - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rawlings, D. Jim</creatorcontrib><creatorcontrib>Lawrence, Stewart</creatorcontrib><creatorcontrib>Goldstein, Jeffrey D.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of perinatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rawlings, D. Jim</au><au>Lawrence, Stewart</au><au>Goldstein, Jeffrey D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Acquired Tracheoesophageal Fistula in a Premature Infant</atitle><jtitle>American journal of perinatology</jtitle><addtitle>Amer J Perinatol</addtitle><date>1993-03-01</date><risdate>1993</risdate><volume>10</volume><issue>2</issue><spage>164</spage><epage>167</epage><pages>164-167</pages><issn>0735-1631</issn><eissn>1098-8785</eissn><coden>AJPEEK</coden><abstract>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.</abstract><cop>New York, NY</cop><pub>Thieme</pub><pmid>8476483</pmid><doi>10.1055/s-2007-994652</doi><tpages>4</tpages></addata></record> |
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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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