| Successful thoracoscopic repair of esophageal atresia with tracheoesophageal fistula in a newborn with single ventricle physiology. | |
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MedLine Citation:
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PMID: 16192508 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A neonate with VACTERL association including tricuspid atresia was scheduled for thoracoscopic esophageal atresia with tracheoesophageal fistula (EA/TEF) repair and laparoscopic gastrostomy tube placement. In addition to standard noninvasive monitoring, arterial blood pressure, central venous pressure, and cerebral oxygen saturation were monitored. Gastric distension resulting from positive pressure ventilation prevented laparoscopic gastrostomy tube placement. Thoracoscopy with a CO2 insufflation pressure of 6 mm Hg at low flow (1 L/min) was well tolerated hemodynamically despite hypercarbia and cerebral oxygen saturation was maintained. Careful monitoring and good communication were critical to the safe management of this single ventricle patient during thoracoscopic EA/TEF repair. IMPLICATIONS: Esophageal and tracheoesophageal fistula in conjunction with single ventricle physiology carries a significant risk of mortality. We present the anesthetic management of a neonate with unpalliated tricuspid atresia who underwent thoracoscopic tracheoesophageal fistula repair. |
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Authors:
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Edward R Mariano; Larry F Chu; Craig T Albanese; Chandra Ramamoorthy |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Anesthesia and analgesia Volume: 101 ISSN: 0003-2999 ISO Abbreviation: Anesth. Analg. Publication Date: 2005 Oct |
Date Detail:
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Created Date: 2005-09-29 Completed Date: 2005-10-21 Revised Date: 2009-09-17 |
Medline Journal Info:
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Nlm Unique ID: 1310650 Medline TA: Anesth Analg Country: United States |
Other Details:
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Languages: eng Pagination: 1000-2, table of contents Citation Subset: AIM; IM |
Affiliation:
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Department of Anesthesia, University of California at San Diego School of Medicine, San Diego, California 92103-8770, USA. ermariano@ucsd.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Esophageal Atresia
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surgery* Heart Defects, Congenital / surgery* Humans Infant, Newborn Oxygen / metabolism Thoracoscopy / methods* Tracheoesophageal Fistula / surgery* Vascular Resistance |
| Grant Support | |
ID/Acronym/Agency:
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K23 GM071400-02/GM/NIGMS NIH HHS |
| Chemical | |
Reg. No./Substance:
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7782-44-7/Oxygen |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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