General objectives: - At the end of this presentation, the students will know more about Tracheoesophageal Fistula
Specific objectives: - At the end of this presentation, the students will able to:-
Discuss about congenital disorders and its classification.
Define Trachea esophageal fistula and the incidence rate of TEF
Discuss about the anatomy and pathophysiology of the tracheoesophageal fistula.
List down the risk factors of tracheoesophageal fistula.
To illustrate the classification of tracheoesophageal fistula.
Enlist the clinical manifestation of tracheoesophageal fistula
Enlist the diagnostic investigation of tracheoesophageal fistula
Discuss about the management of tracheoesophageal fistula.
List down the complications of the tracheoesophageal fistula.
SR. DURATION SPECIFIC CONTENT TEACHING A.V EVALUATION
No. OBJECTIVES LEARNING AIDS
ACTIVITY
1min To introduce Good morning
myself and the everyone. My self
topic Pooja, student of MSc.
Nursing 1st year.
Today’s topic is
Tracheoesophageal
Fistula
2min To define • Congenital disorders, also referred to Student teacher PowerPoint What do you
Congenital as congenital abnormalities, define Congenital understand by
disorders malformations, or birth defects, are disorder Congenital disorders?
structural or functional anomalies—
like metabolic disorders—that arise
during intrauterine development.
These conditions can be detected
before birth, at birth, or sometimes
later in infancy, such as with hearing
impairments. They can influence a
child's physical or mental
development and may affect any part
of the body, ranging from minor
physical issues to severe
psychological and neurological
disorders that can lead to lifetime
disabilities.
To define Trachea Definition
esophageal fistula Tracheoesophageal fistula (TEF) is often Student teacher Case What do you
found in conjunction with esophageal define Trachea discussion understand by TEF?
atresia (EA). esophageal fistula
These are rare malformations that represent
a failure of the esophagus to develop as a
SUMMARY
Tracheoesophageal fistula (TEF) is an abnormal connection between the trachea (windpipe) and the esophagus (the tube that carries food from
the mouth to the stomach). There are several types of TEF, with Type C being the most common. In this type, there is a proximal esophageal
atresia with a distal tracheoesophageal fistula. Clinical manifestations often include coughing, choking, and respiratory distress during feeding,
as well as recurrent aspiration pneumonia. Diagnostic evaluation typically involves imaging techniques such as chest X-ray, or endoscopy to
identify the fistula and assess its anatomical characteristics.
Management of TEF generally requires surgical intervention to repair the abnormal connection and reconstruct the affected structures.
Preoperative care involves stabilizing the patient, often through intravenous nutrition and respiratory support. Postoperative care focuses on
monitoring for potential complications such as infection, anastomotic leaks, or strictures, and providing appropriate feeding and respiratory
support.
CONCLUSION
Tracheoesophageal fistula is a complex condition that necessitates early diagnosis and surgical correction to avoid severe complications and
improve patient outcomes. Prompt and accurate identification of the TEF type and associated anomalies is essential for planning effective
surgical intervention. Advances in surgical techniques and postoperative care have markedly improved survival rates and quality of life for
affected individuals.
ASSIGNMENT
Make an assignment on pre and post operative management of Tracheoesophageal fistula.
REFERENCE
Wong, D. W. (Ed.). (2021). Essentials of Pediatric Nursing (10th ed). Elsevier. 2021.
Ghai, O. P., and Vinod K. Paul, editors. Ghai Essential Pediatrics. 9th ed., Elsevier, 2018.
