Peds- TEF Flashcards Preview

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Flashcards in Peds- TEF Deck (20)
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1

is a TEF a medical emergency?

yes

2

Describe the most common variation

ends with a blind pouch 

and lower esophagus connects with trachea

85%

3

S/S of TEF

gastric distension with respirations

aspiration pne

dehydration

4

feedings w/ a pt with a TEF leads to what?

triple C

Choking

coughing

cyanosis

(also can get hypoxia and bradycardia)

5

____% of pts with TEF have associated congenital abnormalities, approx 15% involve the CV system

50%

6

what is the mnemonic for the associated congenital dz's associated w/ TEF

VACTERL

7

what does VACTERL stand for

V ertebral defect

A nal atresia

C ardiac adnormalities

T rachealesophageal fistula

E sophageal atresia

R enal dysplaspia

L imb abnormalities

8

Anesthesia consideration for TEF:

why do u need frequent suctioning

coupious pharyngeal secretions

9

Anesthesia consideration for TEF:

should u give positive pressure ventilation prior to intibation

no

10

Anesthesia consideration for TEF:

what is an ideal intubation

awake w/o MR

11

Anesthesia consideration for TEF:

can you extend their necks

no

12

Anesthesia consideration for TEF:

what do you want to avoid post op and why?

instrumentation in esophagus

may disrupt surgical repair

13

Anesthesia consideration for TEF:

do you plan to extubate these indivisuals after sx

yes in the OR 

14

Anesthesia consideration for TEF:

what is the main objective with tube placement

isolate the fistula

15

Anesthesia consideration for TEF:

give an ex of where to place tube

Fistula

ETT

Carina

16

Anesthesia consideration for TEF:

what is a common tech for tube placement

right main stem, pulse ox, pull back untill in place

17

describe again the most common type of TEF

blind pouch and a lower esophageal connection to tracha 

18

which one has the lowest risk of aspiration

A

19

which one has the highest risk of aspiration

D

20

which one is the most common

C

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