Tracheo- Esophageal Fistula
– It is rare malformation that represent a failure of the esophagus to develop as a continuous passage.
– Occur in both sexes
– High in low birth weight and premature
Types of Tracheo- Esophageal Fistula
– Excessive saliva and drooling associated with choking,sneezing,coughing
– Infant becomes cyanotic and may stop breathing
– Feeding may be aspirated through the fistula to the trachea causing aspiration pneumonia.
– Abdominal distension from air passing down to the stomach.
Treatment of Tracheo- Esophageal Fistula
– Surgical correction
– NPO, IV therapy
– Prevention of pneumonia by proper positioning, frequent suctioning.
Maintain gastrostomy tube
Nursing intervention Tracheo- Esophageal Fistula
– Suctioning to remove secretion
– Position to keep patent airway
– Observe for signs of respiratory distress
– Keep the infant NPO, IV therapy
– Postoperative care:
– Maintain patent airway
– Suction secretions as needed
– Maintain care of chest tubes
– Administer oxygen as indicated
– Regulate IV fluid
– Administer mouth care
– Care of gastrostomy tube
– Observe for signs of inflammation
– Apply gastrostomy feeding
Infantile Hypertrophy Pyloric Stenosis (IHPS)