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Images in neonatal medicine
The ‘pitfalls’ of intubation: airway complications following tracheo-oesophageal fistula repair
  1. Ross J Langley1,
  2. Daniel Hufton2,
  3. Julie Freeman2,
  4. Michael Jackson3,
  5. Don S Urquhart1
  1. 1 Department of Paediatric Respiratory & Sleep Medicine, Royal Hospital for Sick Children, Edinburgh, UK
  2. 2 Department of Paediatric Intensive Care, Royal Hospital for Sick Children, Edinburgh, UK
  3. 3 Department of Paediatric Radiology, Royal Hospital for Sick Children, Edinburgh, UK
  1. Correspondence to Dr Donald S Urquhart, Department of Paediatric Respiratory & Sleep medicine, Royal Hospital for Sick Children, Edinburgh EH9 1LF, UK; don.urquhart{at}nhslothian.scot.nhs.uk
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http://dx.doi.org/10.1136/archdischild-2016-311519

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    A 6-month-old girl, born at 34 weeks gestation, with a history of VACTERL, thoracoscopic repair of a tracheo-oesophageal fistula and oesophageal atresia was referred with a new oxygen requirement. She was admitted for further investigations, including bronchoscopy with bronchoalveolar lavage and oesophageal dilatation.

    Flexible bronchoscopy demonstrated a deep blind-ending pit with associated tracheomalacia and distorted bronchial anatomy (figure 1).

    Figure 1

    Flexible bronchoscopy (2.8 mm scope) performed via laryngeal-mask airway. The larynx appeared normal with swollen and inflamed arytaenoids. Vocal cord movements …

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