Peds- TEF Flashcards
is a TEF a medical emergency?
yes
Describe the most common variation
ends with a blind pouch
and lower esophagus connects with trachea
85%
S/S of TEF
gastric distension with respirations
aspiration pne
dehydration
feedings w/ a pt with a TEF leads to what?
triple C
Choking
coughing
cyanosis
(also can get hypoxia and bradycardia)
____% of pts with TEF have associated congenital abnormalities, approx 15% involve the CV system
50%
what is the mnemonic for the associated congenital dz’s associated w/ TEF
VACTERL
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
Anesthesia consideration for TEF:
why do u need frequent suctioning
coupious pharyngeal secretions
Anesthesia consideration for TEF:
should u give positive pressure ventilation prior to intibation
no
Anesthesia consideration for TEF:
what is an ideal intubation
awake w/o MR
Anesthesia consideration for TEF:
can you extend their necks
no
Anesthesia consideration for TEF:
what do you want to avoid post op and why?
instrumentation in esophagus
may disrupt surgical repair
Anesthesia consideration for TEF:
do you plan to extubate these indivisuals after sx
yes in the OR
Anesthesia consideration for TEF:
what is the main objective with tube placement
isolate the fistula
Anesthesia consideration for TEF:
give an ex of where to place tube
Fistula
ETT
Carina
which one has the lowest risk of aspiration
A
which one has the highest risk of aspiration
D
which one is the most common
C
