Presentation
ON
TRACHEOESOPHAGEA
L FISTULA
Presented By:- ADITYA YADAVA
Subject:- CHILD HEALTH NURSING -1ST
Roll No:- 002
Tutor:- MISS ANJU YADAV
College:- ALLAHABAD INSTITUTE OF
MEDICAL SCIENCES , KHAGA FATEHPUR
Introduction
● Tracheoesophageal fistula (TEF) is an abnormal
connection between the trachea and esophagus.
Definition
Tracheoesophageal fistula (TEF) is a hole or abnormal connection between the food pipe (esophagus)
and the windpipe (trachea), which allows food or liquids to enter the lungs and air to pass into the
stomach.
Types
1. Type A: Esophageal atresia without fistula.
2. Type B: Fistula between upper esophagus and trachea.
3. Type C: Fistula between lower esophagus and trachea (most common).
4. Type D: Fistula between both upper and lower esophagus with trachea.
5. Type E (H-type): Fistula without esophageal atresia — shaped like the
letter “H”.
Causes
● • Congenital malformation
● • Trauma
● • Malignancy
● • Prolonged intubation
● • Infections
Risk Factors
● • Maternal diabetes
● • Genetic factors
● • Premature birth
•Certain medications during pregnancy
● • Environmental exposure during pregnancy
Prevention
● • Avoid teratogenic drugs during pregnancy
● • Proper prenatal care
● • Genetic counseling
Management
● Management depends on type and severity of
TEF.
● Includes both medical and surgical
approaches.
● Medical Management
• Stabilize airway
• Prevent aspiration
• Maintain nutrition (IV fluids)
• Antibiotic therapy
Surgical Management
1. • Primary repair of fistula
• Esophageal reconstruction
● • Post-operative care to prevent
complications
Nursing Management
● • Maintain airway . Maintain Airway: Keep the airway clear; position the baby
to prevent aspiration (usually semi-upright).
●
●
● 2. Prevent Aspiration: Avoid oral feeding until surgery; use suction to
remove secretions.
●
●
● 3. Monitor Breathing: Observe for signs of respiratory distress or cyanosis.
●
●
● 4. Provide Nutrition: Give IV fluids or gastrostomy feeding as prescribed.
● 5. Postoperative Care: Monitor surgical site, maintain tube patency, and
provide emotional
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PPT on Teacheoesophageal fistula Child health nursing

  • 1.
    Presentation ON TRACHEOESOPHAGEA L FISTULA Presented By:-ADITYA YADAVA Subject:- CHILD HEALTH NURSING -1ST Roll No:- 002 Tutor:- MISS ANJU YADAV College:- ALLAHABAD INSTITUTE OF MEDICAL SCIENCES , KHAGA FATEHPUR
  • 2.
    Introduction ● Tracheoesophageal fistula(TEF) is an abnormal connection between the trachea and esophagus.
  • 3.
    Definition Tracheoesophageal fistula (TEF)is a hole or abnormal connection between the food pipe (esophagus) and the windpipe (trachea), which allows food or liquids to enter the lungs and air to pass into the stomach.
  • 4.
    Types 1. Type A:Esophageal atresia without fistula. 2. Type B: Fistula between upper esophagus and trachea. 3. Type C: Fistula between lower esophagus and trachea (most common). 4. Type D: Fistula between both upper and lower esophagus with trachea. 5. Type E (H-type): Fistula without esophageal atresia — shaped like the letter “H”.
  • 5.
    Causes ● • Congenitalmalformation ● • Trauma ● • Malignancy ● • Prolonged intubation ● • Infections
  • 6.
    Risk Factors ● •Maternal diabetes ● • Genetic factors ● • Premature birth •Certain medications during pregnancy ● • Environmental exposure during pregnancy
  • 7.
    Prevention ● • Avoidteratogenic drugs during pregnancy ● • Proper prenatal care ● • Genetic counseling
  • 8.
    Management ● Management dependson type and severity of TEF. ● Includes both medical and surgical approaches.
  • 9.
    ● Medical Management •Stabilize airway • Prevent aspiration • Maintain nutrition (IV fluids) • Antibiotic therapy
  • 10.
    Surgical Management 1. •Primary repair of fistula • Esophageal reconstruction ● • Post-operative care to prevent complications
  • 11.
    Nursing Management ● •Maintain airway . Maintain Airway: Keep the airway clear; position the baby to prevent aspiration (usually semi-upright). ● ● ● 2. Prevent Aspiration: Avoid oral feeding until surgery; use suction to remove secretions. ● ● ● 3. Monitor Breathing: Observe for signs of respiratory distress or cyanosis. ● ● ● 4. Provide Nutrition: Give IV fluids or gastrostomy feeding as prescribed. ● 5. Postoperative Care: Monitor surgical site, maintain tube patency, and provide emotional
  • 12.