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Anesthetic management of a neonate with type IV laryngotracheo‐esophageal cleft
Author(s) -
TAGAWA TSUYOSHI,
OKUDA MASAHIRO,
SAKURABA SHIGEKI
Publication year - 2009
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1111/j.1460-9592.2009.03067.x
Subject(s) - medicine , esophagus , anesthesia , catheter , stomach , surgery , airway , airway management
Summary Laryngotracheo‐esophageal cleft is a rare congenital anomaly that occurs when the trachea and esophagus fail to separate during fetal development. Clinical severity varies greatly in anatomic cleft extent. We report the successful management of the airway of a neonate with type IV laryngotracheo‐esophageal cleft for the gastric division surgery by dividing the esophagogastric continuity between the esophageal orifice and the stomach using the balloon catheter and remaining spontaneous breathing through the large cuffed tracheal tube inserted into the esophageal orifice.