Wonders with caudal epidural analgesia for tracheoesophageal fistula in neonates

Abstract

Some of the main objectives of anesthesia plan for tracheoesophageal fistula (TEF) repair are to provide good
analgesia and smooth post-operative recovery. The anesthetic considerations in neonatal surgical emergencies are
based on the physiological immaturity of various body systems, poor tolerance to the anesthetic drugs associated
with congenital heart disease and preterm baby. The use of regional anesthesia has shown to be safe and effective.
TEF repair of 1 day old baby which was successfully managed by caudal epidural analgesia along with GA is
reported in this article. So management of every TEF case with caudal block shows excellent hemodynamic
stability, postop pain relief for successful recovery and increased survival of the baby.