Aliases:
TEF repair (Tracheoesophageal Fistula)
TOF OA Repair
TOFOA Repair
TEF OA Repair
TEFOA Repair

Topic aliases are alternate phrasings for a particular topic.


Considerations as for neonate

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90mins to 3hrs.

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Arterial line will be required to monitor for haemodynamic fluctuations related to the thoracotomy and lung retraction.

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Two pulse oximetry probes in case one fails. Placing an additional oximeter after positioning and draping is difficult.

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Avoid distending the stomach (via the TOF) with prolonged or vigorous facemask ventilation.

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ETT placement is critical. Confirm ventilation of both lungs with the tracheal tube distal to the fistula.

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There will be moments where ventilation may be impaired by lung retraction.

Adjust ventilation settings and FiO2 appropriately and notify surgeons when they need to take a break from retraction to allow periods of adequate ventilation.

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Left lateral position

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Right thoracotomy

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Significant blood loss is not usually expected.

To be safe calculate estimated blood-volume and allowable blood-loss.

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Nasal temp probe, situated in the nasopharynx

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Take note of the depth of the nasogastric tube at the nose and secure it well at that depth.

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