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      Does continuous positive airway pressure for extubation in congenital tracheoesophageal fistula increase the risk of anastomotic leak? A retrospective cohort study.

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          Abstract

          Immediate post-operative care of tracheoesophageal fistula (TEF) and oesophageal atresia (EA) requires mechanical ventilation. Early extubation is preferred, but subsequent respiratory distress may warrant re-intubation. Continuous positive airway pressure (CPAP) is a well-established modality to prevent extubation failures in preterm infants. However, it is not favoured in TEF/EA, because of the theoretical risk of oesophageal anastomotic leak (AL). The aim of this study was to find out if post-extubation CPAP is associated with increased risk of AL.

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          Author and article information

          Journal
          J Paediatr Child Health
          Journal of paediatrics and child health
          Wiley-Blackwell
          1440-1754
          1034-4810
          Jul 2016
          : 52
          : 7
          Affiliations
          [1 ] Department of Neonatology, King Edward Memorial Hospital and Princess Margaret Hospital, Perth, Western Australia, Australia.
          [2 ] Department of Paediatric Surgery, Princess Margaret Hospital, Perth, Western Australia, Australia.
          [3 ] Centre of Neonatal Research and Education, School of Paediatrics and Child Health, University of Western Australia, Perth, Western Australia, Australia.
          Article
          10.1111/jpc.13206
          27228265

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