ESOPHAGEAL ATRESIA / FISTULA Flashcards
(23 cards)
a condition characterized by the failure of the esophagus to form a continuous passage from
the pharynx to the stomach
esophageal atresia
incidence of EA
equal in boys and girls
hx of maternal polyhydramnios
abnormal
sinus connection
between the
esophagus and the
trachea.
tracheo-esophageal fistula
true or false - TEF is Common in babies w/ chromosomal abnormalities, such as Down’s syndrome.
true
using ___ is also a risk factor for TEF
ART assisted repro technology
clinical manifestation of EA and TEF
- excessive secretions after birth
- violent response after swallowing
- abd distention
- intermittent cyanosis
- respi problems
- gastro esophageal reflux
abd distention is caused by
air passing through the trachea into the stomach
intermittent cyanosis is caused by
aspiration from the blind upper pouch
5 C’s of TEF
coughing
choking
cyanosis
colic
catheter cannot pass
how to diagnose EA and TEF
- attempt to pass an NG cath
- cinefleurography
- bronchoscopic examination
- xray of abd and chest
with division and ligation of the TEF and an end-to-end or end-to-side anastomosis of the esophagus
thoracotomy
repair of the esophagus
esophageal anastomosis
are surgical procedures for providing long-term enteral nutrition
Cervical esophagostomy and gastrostomy
a condition where the trachea, or windpipe, collapses during breathing, often due to weakness or softness of the cartilage that supports the airway
tracheomalacia
a weakness in the tracheal wall that occurs when a dilated proximal pouch compresses the trachea
from early in fetal life or when the trachea does not develop normally because of loss of
intratracheal pressure.
tracheomalacia
mgmt of tracheomalacia
endotracheal intubations
to decompress the stomach and
prevent fluid in the stomach
from flowing up the esophagus,
through the fistula and into the
lungs.
balloon endoscopy
post-op
Position newborn w/ the head
& chest elevated ___ degrees to prevent reflux of gastric juices into the tracheobronchial tree
20-30 degrees
post-op
Put neonate in an incubator w/
___ to aid in liquefying
secretions and thick mucus.
high humidity
true or false - oral hygiene and stimulation is important post-op care
true
post-op
Monitor for any sign of
respiratory distress from ___ and ___
atelectasis, pneumothorax
Gastrostomy feedings are continued until the esophageal anastomosis is healed, on about the ___ day
10-14th
diet post-op
- oral feeding with sterile water
- SFF of breastmilk or formula
- low residue diet
