Tracheo- Esophageal Fistula Nursing care and intervention

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.

– Gastrostomy

Maintain gastrostomy tube


Nursing intervention Tracheo- Esophageal Fistula

Preoperative care:

– 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)

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