Novel use of balloon-tipped bronchial blockers to occlude neonatal tracheoesophageal fistula: a case series.

ABSTRACT:

Background

Management of the airway and ventilation in neonates with a tracheoesophageal fistula (TEF) remains a significant challenge. The routine method of intubation involves placement of the tracheal tube tip beyond the fistula opening followed by isolation of the fistula from ventilation using the inflated cuff. When the fistula opening is close to the carina or below the level of the carina, the traditional technique is not suitable for adequate ventilation. Moreover, this method fails to prevent gastric insufflation.

Case presentation

We herein report a series of 10 newborns with TEFs (1,090-3,080 g) who underwent bronchoscopic insertion of a 5-Fr balloon-tipped bronchial blocker (BTBB) for temporary occlusion of the fistula. In seven newborns, placement of the BTBB w

SUBMITTER: Sheng B 

PROVIDER: S-EPMC8788077 | biostudies-literature | 2022 Jan

REPOSITORIES: biostudies-literature