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REVIEW ARTICLE
Year : 2018  |  Volume : 19  |  Issue : 2  |  Page : 39-44

Recent advances in anesthetic management in repair of tracheoesophageal fistula repair


1 Departments of Anaesthesia and Critical Care, MAMC and Lok Nayak Hospital, New Delhi, India
2 Department of Pediatric Surgery, Madhukar Rainbow Hospital, New Delhi, India

Correspondence Address:
Dr. Bhavna Gupta
Department of Anaesthesia, MAMC and Lok Nayak Hospital, New Delhi
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/TheIAForum.TheIAForum_43_18

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Thoracosopic repair of tracheoesophageal fistula and esophageal atresia (TREAT) is an advanced endoscopic procedure which requires a skilled approach in minimally invasive surgeries. TREAT is considered as a superior technique in achieving cosmesis and avoiding complications when compared to open thoracotomy. It requires a team of surgeons, anesthesiologists, and assistants and neonatal intensivists to look after the neonate in the perioperative period. Recent meta-analysis has shown no significant difference in outcome and functional evaluation in open thoracotomy and thoracoscopic approach to TEF repair. Anesthesiologists should be well versed with knowledge and ability to anticipate challenges in managing neonates under thoracoscopic TEF repair which plays an important role in the management and survival of these kids. We searched PubMed and Google Scholar databases with the following keywords anesthetic management, tracheoesophageal repair, surgical repair, non-intubated video-assisted thoracoscopic surgery, video-assisted thoracoscopic surgery, video-assisted thoracoscopic surgery, pediatric one-lung ventilation, and pediatric regional anesthesia. The last search was made on July 31, 2018.


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