RESUMO
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Assuntos
Humanos , Masculino , Feminino , Criança , Algoritmos , Guias de Prática Clínica como Assunto , Valor Preditivo dos Testes , Testes de Função Respiratória/métodos , Doenças Respiratórias/diagnóstico , Traqueostomia/métodos , Intubação/métodos , Intubação Intratraqueal/tendências , Laringoscopia , Traqueostomia/tendências , TraqueostomiaRESUMO
Complete tracheal agenesis is a very rare congenital anomaly that is only compatible with life in some cases with associated tracheo-oesophageal or broncho-oesophageal fistula. In most cases, concomitant congenital anomalies of the heart, digestive tract or genitourinary tract are present. It should be suspected in any neonate with a history of hydramnios, absent crying, respiratory distress and difficulty in intubation. The possibility for surgical correction or palliation rests on the extent of atresia present. We present a case of complete tracheal agenesis without tracheo nor broncho-oesophageal fistula (type II by Floyd's classification) - the diagnosis of which was prenatally suspected - and discuss the important features of the airway management of this condition.