• JNMA J Nepal Med Assoc · Jul 2008

    Case Reports

    Anaesthetic management of tracheal agenesis.

    • B Bhattarai, A Pratap, R Yadav, and K Pokharel.
    • Department of Anaesthesiology and Critical Care, BPKIHS, Dharan, Nepal. bhattaraibk@yahoo.com
    • JNMA J Nepal Med Assoc. 2008 Jul 1;47(171):142-4.

    AbstractTracheal agenesis is a rare but uniformly fatal congenital condition that obstetricians, neonatologists or anaesthesiologists may encounter as an unexpected emergency. Ventilation with bag and mask or through an endotracheal tube placed in the oesophagus may be the only options left for immediate survival and evaluation. Ventilation and maintenance of adequate oxygenation can be difficult during surgical interventions. We report a case of neonate in which ventilation and anaesthesia were maintained through an endotracheal tube in the oesophagus and frequent episodes of drop in oxygen saturation were observed during surgery. Anaesthetic management, airway and other issues are discussed.

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