Management of intraoperative endotracheal tube obstruction in a newborn with esophageal atresia

In this case report we discuss the anaesthetic management of newborns with esophageal atresia classified as Vogt mb. This type is characterised by an upper esophageal pouch which ends blindly and a distal tracheoesophageal fi stula. Commonly associated diseases are cardiac, renal, vertebral and anal anomalies. The most important intraoperative anaesthesiological complicatio ns are acidosis, hypoxaemia, gastric distension, endotracheal tube obstruct ion, tracheal compression, cardiac arrhythmias and atelectasis. In the pres ented case an endotracheal tube obstruction with hypercapnia occurred which required a change of the airway. After changing the endotracheal tube the newborn could be ventilated sufficiently. Further postoperative course was uneventful.