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How is a baby with a tracheoesophageal fistula prepared for surgery?
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While awaiting surgery, the infant's condition is stabilized. Preoperative care concentrates on avoiding aspiration pneumonia and includes:
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Tracheoesophageal fistula repair - series?
Normal anatomyThe trachea and esophagus run next to each other through the chest cavity. The esophagus connects to the stomach, and carries food and saliva to the stomach. The trachea connects to the lungs and carries air to the lungs.IndicationsA tracheoesophageal fistula is a congenital anomaly in which there is a connection between the trachea and the esophagus. This is a life-threatening problem requiring immediate intervention. Saliva and gastric secretions may be aspirated into the lungs through the abnormal opening in the trachea. Normal swallowing and digestion of food cannot occur with the abnormal esophagus.Procedure, part 1Although the surgical procedure varies depending on the location and type of fistula, in general, an incision is made in the right chest. The section of esophagus that contains the fistula is resected.Procedure, part 2The ends of the esophagus are sutured back together. In many cases, infants are very ill, and therefore require a staged procedure. This involves placing a tube in the stomach (gastrostomy tube), in order to decompress the stomach and prevent fluid in the stomach from flowing up the esophagus, through the fistula and into the lungs. The infant is then cared for in an intensive care unit until he or she is well enough to undergo resection of the fistula and a definitive repair of the esophagus.AftercareThe baby will be cared for pre-operatively and post-operatively in a neonatal intensive care unit. He/she will be placed in an isolette (incubator) to keep warm. He/she may require oxygen and/or mechanical ventilation. A chest tube may be in place to drain fluids. Intravenous fluids and pain medications will be given. Feedings will be started as soon as possible, depending on the extent of the repair. Length of the hospitalization varies, depending on the seriousness of the surgery and the baby's condition.Reviewed ByReview Date: 08/11/2011David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; George F. Longstreth, MD, Department of Gastroenterology, Kaiser Permanente Medical Care Program, San Diego, California. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
How is esophageal atresia diagnosed?
diagnose the condition using x-ray imaging or by passing a catheter through the nose and into the esophagus. Esophageal atresia is indicated if the catheter hits an obstruction 4-5 in (10-13 cm) from the nostrils.
How is patent ductus arteriosus treated in premature infants?
Patent ductus arteriosus is treated by administering a drug, indomethacin, to close the duct. Surgery may be required if the duct does not close on its own as the baby develops.
Why do blood and mucus leave a woman's body once a month what is the process called?
The process is called menstruation, and the reason is that a woman's body cyclically prepares to carry a baby, but has to renew the internal preparations monthly, and so the lining that was prepared is expelled.
A human baby is born with two X chromosomes. What must be true about this baby?
the baby is a female
What developmental abnormality do you suspect when the baby turns blue whenever she is fed and chokes during each feeding?
What comes to mind is a tracheoesophageal fistula or TEF.
What is the prognosis for a baby with a tracheoesophageal fistula?
Even when the esophagus is successfully separated and reattached, many infants have difficulty swallowing, because the contractility of the esophagus is impaired. Infants may also have problems with gastroesophageal reflux
A new mother is worried about her week-old infant The baby has begun to turn blue whenever she is fed and chokes during each feeding What developmental abnormality do you suspect?
Tracheoesophageal fistula, and it can be corrected surgically.
Tracheoesophageal fistula and esophageal atresia repair?
DefinitionTracheoesophageal fistula and esophageal atresia repair is surgery to repair two birth defects in your esophagus and trachea. Your esophagus is the tube that carries food from the mouth to the stomach. Your trachea, or windpipe, is the tube that carries air to the lungs.These defects usually occur together:Esophageal atresia is when the upper part of the esophagus does not connect with the lower esophagus and stomach.Tracheoesophageal fistula (TEF) is a connection between the upper part of the esophagus and the trachea or windpipe.Alternative NamesTEF repair; Esophageal atresia repairDescriptionThis surgery is almost always done soon after birth. Surgery is done while the child is in a deep sleep and pain-free from general anesthesia.Tracheoesophageal fistula and esophageal atresia can usually be repaired at the same time.The surgeon will make a cut on the right side of the chest between the ribs.The fistula, which is the abnormal connection between the esophagus and windpipe, is closed off.Then the upper and lower portions of the esophagus are sewn together.If the 2 parts of the esophagus are too far apart, then:Only the fistula will be repaired during the first surgery.A gastrostomy tube (a tube that goes through the skin into the stomach) may be placed to give your child nutrition.Your child will have another surgery later to repair the esophagus.Sometimes the surgeon will wait 2 - 4 months before doing the surgery. Waiting allows your baby to grow or have other problems treated. If your child's surgery is delayed:A gastrostomy tube will be placed. The gastrostomy tube is often placed using numbing medicines (local anesthesia) so that your baby does not feel pain.During this time, the doctor may want to widen your baby's esophagus with a special instrument called a dilator. This will make the future surgery easier.Why the Procedure Is PerformedTracheoesophageal fistula and esophageal atresia are life-threatening problems and need treatment right away. If these problems are not treated:Your child may breathe saliva and fluids from the stomach into the lungs. This is called aspiration. It can cause choking and pneumonia (lung infection).Your child cannot swallow and digest food safely, or at all.RisksRisks for any anesthesia include:Reactions to medicinesBreathing problemsRisks for any surgery include:BleedingInfectionRisks for this surgery are:Collapsed lung (pneumothorax)Food leakage from the area that is repairedLow body temperature (hypothermia)Narrowing of the repaired organsRe-opening of the fistulaBefore the ProcedureYour child will be admitted to the neonatal intensive care unit (NICU) or infant care center (ICC) as soon as the doctors diagnose either of these problems.Your baby will receive nutrition by vein (intravenous, or IV) and may also be on a breathing machine (ventilator). The nurses may use suction to keep fluids from going into the lungs.Some infants who have a low birth weight or other birth defects may not be able to have surgery until these other problems have been treated or have gone away.After the ProcedureAfter surgery, your child will be cared for in a hospital's NICU. Your child will be placed in a special bed called an isolette (incubator), which provides warmth and helps prevent infection.Additional treatments after surgery usually include:Antibiotics as needed, to prevent infectionBreathing machine (ventilator)Chest tube (a tube through the skin into the chest wall) to drain fluids and keep the lungs openIntravenous(IV) fluids, including nutritionOxygenPain medicines as neededIf both the tracheoesophageal fistula and esophageal atresia are repaired:A tube will be placed through the nose into the stomach (nasogastric tube) during the surgery.Feedings are usually started through this tube a few days after surgery.Feedings by mouth are started very slowly. The baby may need feeding therapy and a lot of encouragement.If only the tracheoesophageal fistula was repaired and not the esophageal atresia, a gastrostomy tube will be used for feedings until the atresia can be repaired.While your baby is in the hospital the nurses will show you how to use and replace the gastrostomy tube.You will also be sent home with an extra gastrostomy tube. The nurses will inform a home health supply company of your equipment needs.How long your infant stays in the hospital will depend on what type of surgery your child needed. You will be able to bring your baby home once he or she is taking feedings by mouth or gastrostomy tube, and is gaining weight.Outlook (Prognosis)Surgery can usually repair tracheoesophageal fistula and esophageal atresia. Most children who have had this repair grow up and have normal lives.Once healing from the surgery is complete, your child may have these problems:The part of the esophagus that was repaired may become narrower. Your child may need to have more surgery to treat this.Your child may have heartburn or gastroesophageal reflux (GERD). This occurs when acid from the stomach goes up into the esophagus.During infancy, some children will have problems with breathing, growth, and feeding, and will need to continue seeing both their primary care provider and specialists.ReferencesOrenstein S, Peters J, Khan S, Youssef N, Hussain SZ. Congenital anomalies: Esophageal atresia and tracheoesophageal fistula. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 316.Long JD, Orlando RC. Anatomy, histology, embryology, and developmental anomalies of the esophagus. In: Feldman M, Friedman LS, Sleisenger MH, eds. Sleisenger & Fordtran's Gastrointestinal and Liver Disease. 8th ed. Philadelphia, Pa: Saunders Elsevier; 2006:chap 40.
When a fistula occurs by baby teeth is it best to have the teeth pulled?
Depends on how old the patient is and how structurally sound the tooth is.
Can prepared baby food be frozen?
Baby food in jars has no need to be frozen. Homemade prepared baby food can certainly be frozen.
Are some teenagers prepared for their baby?
No, no one is ever prepared for a child. Children having children.
Do you need surgery if a baby doesnt come out when its supposed to?
Depends on how long overdue it is and how the baby is doing. The surgery BTW is called a caesarean section.
Tracheoesophageal fistula repair - series?
Normal anatomyThe trachea and esophagus run next to each other through the chest cavity. The esophagus connects to the stomach, and carries food and saliva to the stomach. The trachea connects to the lungs and carries air to the lungs.IndicationsA tracheoesophageal fistula is a congenital anomaly in which there is a connection between the trachea and the esophagus. This is a life-threatening problem requiring immediate intervention. Saliva and gastric secretions may be aspirated into the lungs through the abnormal opening in the trachea. Normal swallowing and digestion of food cannot occur with the abnormal esophagus.Procedure, part 1Although the surgical procedure varies depending on the location and type of fistula, in general, an incision is made in the right chest. The section of esophagus that contains the fistula is resected.Procedure, part 2The ends of the esophagus are sutured back together. In many cases, infants are very ill, and therefore require a staged procedure. This involves placing a tube in the stomach (gastrostomy tube), in order to decompress the stomach and prevent fluid in the stomach from flowing up the esophagus, through the fistula and into the lungs. The infant is then cared for in an intensive care unit until he or she is well enough to undergo resection of the fistula and a definitive repair of the esophagus.AftercareThe baby will be cared for pre-operatively and post-operatively in a neonatal intensive care unit. He/she will be placed in an isolette (incubator) to keep warm. He/she may require oxygen and/or mechanical ventilation. A chest tube may be in place to drain fluids. Intravenous fluids and pain medications will be given. Feedings will be started as soon as possible, depending on the extent of the repair. Length of the hospitalization varies, depending on the seriousness of the surgery and the baby's condition.Reviewed ByReview Date: 08/11/2011David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; George F. Longstreth, MD, Department of Gastroenterology, Kaiser Permanente Medical Care Program, San Diego, California. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
How long is prepared baby formula safe?
Once prepared, the formula is good for 24 hours. At that point, if it hasn't been consumed yet by your baby, it should be discarded.Once prepared, the formula is good for 24 hours. At that point, if it hasn't been consumed yet by your baby, it should be discarded.
Can one be a ballerina and have a child?
after the baby is born, yes but have a prepared baby sitter for rehearsals and performances
You think im pregnant what can you do?
1. Make sure whether you really are, or aren't, pregnant.2. Start getting prepared for the baby.1. Make sure whether you really are, or aren't, pregnant.2. Start getting prepared for the baby.1. Make sure whether you really are, or aren't, pregnant.2. Start getting prepared for the baby.1. Make sure whether you really are, or aren't, pregnant.2. Start getting prepared for the baby.
