Tracheal Esophagel Fistula/Espophageal Atresia

Question 1

what are risk factors

Answer 1

low birth weight
pre-term birth
maternal polyhydramnios
congential malformations

Question 2

what are the 3 classic s/s

Answer 2

coughing
choking
cyanosis

Question 3

what is key sign

Answer 3

excessive frothy mucous from the mouth & nose

Question 4

which diagnostic test confirms this

Answer 4

attempting to pass an NG tube to the stomach

Question 5

what is done immediately

Answer 5

NPO

surgery

Question 6

one step surgery

Answer 6

thoracotomy w/ division & ligation of fistula

Question 7

two step surgery

Answer 7

ligation of fistula & insertion of G tube

ends of esophagus reconnected

Question 8

what can be used if the area of the esophagus removed is too large

Answer 8

part of the colon or a G tube

Question 9

what is tracheomalacia

Answer 9

soft airway

Question 10

how often is tracheomalacia a significant complication

Answer 10

10-20%

Question 11

what is given for the first feeding pre op

Answer 11

plan water

Question 12

which position should the infant be in

Answer 12

elevated at least 30 degrees

Question 13

which test should be done before starting oral feeds post op

Answer 13

barium swallow/esophogram

Question 14

what is given for the first feeding post op

Answer 14

sterile water

Question 15

what are symptoms of tracheomalacia

Answer 15

barking cough
stridor
wheezing
recurrent URI's
apnea