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)