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Anesthetic Management of an Infant With Postnatally Diagnosed Tracheal Agenesis Undergoing Tracheal Reconstruction: A Case Report. A A Case Rep 2017 Dec 01;9(11):311-318 PMID: 28719384

Pubmed ID

28719384

DOI

10.1213/XAA.0000000000000603

Abstract

A term infant born cyanotic failed multiple intubation attempts and tracheostomy placement. After esophageal intubation resulted in the ability to ventilate, he was presumed to have tracheal agenesis and distal bronchoesophageal fistula. He was transferred to our institution where he was diagnosed with Floyd Type II tracheal agenesis. He underwent staged tracheal reconstruction. He was discharged to home at 4 months of age with a tracheostomy collar, cervical spit fistula, and gastrostomy tube. He represents the sole survivor-to-discharge of tracheal agenesis in the United States. We describe the anesthetic considerations for a patient with tracheal agenesis undergoing reconstruction.

Author List

Willer BL, Bryan KG, Parakininkas DE, Uhing MR, Staudt SR, Dominguez KM, McCormick ME, Mitchell ME, Densmore JC, Oldham KT, Berens RJ

Authors

Richard J. Berens MD Professor in the Anesthesiology department at Medical College of Wisconsin
John C. Densmore MD Associate Professor in the Surgery department at Medical College of Wisconsin
Michael E. McCormick MD Associate Professor in the Otolaryngology department at Medical College of Wisconsin
Michael Edward Mitchell MD Professor in the Surgery department at Medical College of Wisconsin
Keith T. Oldham MD Professor in the Surgery department at Medical College of Wisconsin
Daiva E. Parakininkas MD Associate Professor in the Pediatrics department at Medical College of Wisconsin
Michael R. Uhing MD Professor in the Pediatrics department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Anesthesia
Constriction, Pathologic
Humans
Infant, Newborn
Intubation, Intratracheal
Male
Positive-Pressure Respiration
Reconstructive Surgical Procedures
Trachea
Tracheostomy
jenkins-FCD Prod-321 98992d628744e349846c2f62ac68f241d7e1ea70