• Darshana Rathod, Ankur Sharma, Vaishnavi Bd, Deepak Chhabra, Tanvi Meshram, Kamlesh Kumari, and Kirtikumar Rathod.
• Department of Anesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur, India.
• Paediatr Anaesth. 2022 Oct 1; 32 (10): 1169-1171.

AbstractTracheoesophageal fistula offers concrete difficulties for anesthesiologists, which comprise associated congenital anomalies and more importantly the problems concerning ventilation and oxygenation. Among all the types of tracheoesophageal fistula, ventilatory problems are frequently encountered with type C fistula. Effective ventilation can be a challenge in such cases where the endotracheal tube invariably ventilates the fistula causing stomach inflation and respiratory compromise. Thorough knowledge and experience are of utmost importance when it comes to the successful airway management and better survival of neonates undergoing tracheoesophageal fistula repair. We report a case of a 3-day-old neonate, diagnosed with type C tracheoesophageal fistula and esophageal atresia posted for thoracoscopic repair. We want to highlight our experience of percutaneous needle gastrostomy done using an intravenous cannula, as a rescue measure for stomach decompression, to manage life-threatening hypoxia.© 2022 John Wiley & Sons Ltd.

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