Skip to main content

Advertising Disclaimer »

Main menu

  • Journals
    • Pediatrics
    • Hospital Pediatrics
    • Pediatrics in Review
    • NeoReviews
    • AAP Grand Rounds
    • AAP News
  • Authors
    • Author Guidelines
  • Content
    • Current Issue
    • Complete Issue PDF
    • Archive
    • 20th Anniversary Special Edition
    • Topic/Program Collections
    • Blog
    • Questions from NeoReviews
  • CME/MOC
    • CME Quizzes
    • MOC Claiming
    • NeoReviewsPlus
    • Board Review Study Guide
  • Multimedia
    • Pediatrics On Call Podcast
  • Subscribe
  • Alerts
  • Careers
  • Other Publications
    • American Academy of Pediatrics

User menu

  • Log in

Search

  • Advanced search
American Academy of Pediatrics

AAP Gateway

Advanced Search

AAP Logo

  • Log in
  • Journals
    • Pediatrics
    • Hospital Pediatrics
    • Pediatrics in Review
    • NeoReviews
    • AAP Grand Rounds
    • AAP News
  • Authors
    • Author Guidelines
  • Content
    • Current Issue
    • Complete Issue PDF
    • Archive
    • 20th Anniversary Special Edition
    • Topic/Program Collections
    • Blog
    • Questions from NeoReviews
  • CME/MOC
    • CME Quizzes
    • MOC Claiming
    • NeoReviewsPlus
    • Board Review Study Guide
  • Multimedia
    • Pediatrics On Call Podcast
  • Subscribe
  • Alerts
  • Careers
American Academy of Pediatrics
Index of Suspicion in the Nursery

Case 3: Premature Infant with Bilateral Choanal Atresia and Esophageal Atresia/Tracheoesophageal Fistula

Perri Hopkins, Andrew Delle Donne, Luis Rohena and Jonathan Shapiro
NeoReviews August 2020, 21 (8) e577-e579; DOI: https://doi.org/10.1542/neo.21-8-e577
Perri Hopkins
*Department of Pediatrics, Brooke Army Medical Center, Fort Sam Houston, TX
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Andrew Delle Donne
*Department of Pediatrics, Brooke Army Medical Center, Fort Sam Houston, TX
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Luis Rohena
*Department of Pediatrics, Brooke Army Medical Center, Fort Sam Houston, TX
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Jonathan Shapiro
*Department of Pediatrics, Brooke Army Medical Center, Fort Sam Houston, TX
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Info & Metrics
  • Comments
Loading

This article requires a subscription to view the full text. If you have a subscription you may use the login form below to view the article. Access to this article can also be purchased.

Download PDF

Presentation

A 26 6/7-week preterm male infant is born to a 24-year-old gravida 2, para 0-0-1-0 woman via urgent cesarean section for preterm labor in breech position. The pregnancy had been uncomplicated, with the exception of preterm labor. All serologic test results are unremarkable. Before delivery, the mother received 1 dose of intramuscular betamethasone 3 hours before delivery. The infant is pale, apneic, and limp on delivery and is taken to the warmer. He is placed in a bowel bag and dried, and positive pressure ventilation is provided immediately, with minimal chest rise. The initial heart rate is less than 100 beats/min. Resuscitation is remarkable for difficulty placing the bag on the infant because of increased secretions and large obstructive tongue. After repeated attempts, the infant undergoes intubation with a 2.5-mm uncuffed endotracheal tube; his heart rate improves to more than 100 beats/min and oxygen saturations were adequate. No epinephrine or chest compression are required. Apgar scores are 2, 4, 5, and 9 at 1, 5, 10 and 15 minutes after birth, respectively. The infant is transferred to the NICU 30 minutes after birth in an intubated and stable condition. Physical examination at birth demonstrates a preterm infant with a relatively large tongue and small size for gestational age.

Progression

On arrival at the NICU, the infant was advanced to mechanical ventilation and he was given surfactant. Umbilical arterial catheter and umbilical venous catheter were placed. Initial arterial blood gas measurement was reassuring. A large …

Individual Login

Log in
You will be redirected to aap.org to login or to create your account.

Institutional Login

via Institution

You may be able to gain access using your login credentials for your institution. Contact your librarian or administrator if you do not have a username and password.

Log in through your institution

If your organization uses OpenAthens, you can log in using your OpenAthens username and password. To check if your institution is supported, please see this list. Contact your library for more details.

Pay Per Article - You may access this article (from the computer you are currently using) for 2 days for US$25.00

Regain Access - You can regain access to a recent Pay per Article purchase if your access period has not yet expired.

Offer Reprints

PreviousNext
Back to top

Advertising Disclaimer »

In this issue

NeoReviews
Vol. 21, Issue 8
1 Aug 2020
  • Table of Contents
  • Table of Contents (PDF)
  • Index by author
  • Complete Issue (PDF)
View this article with LENS
PreviousNext
Email Article

Thank you for your interest in spreading the word on American Academy of Pediatrics.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Case 3: Premature Infant with Bilateral Choanal Atresia and Esophageal Atresia/Tracheoesophageal Fistula
(Your Name) has sent you a message from American Academy of Pediatrics
(Your Name) thought you would like to see the American Academy of Pediatrics web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Request Permissions
Article Alerts
Log in
You will be redirected to aap.org to login or to create your account.
Or Sign In to Email Alerts with your Email Address
Citation Tools
Case 3: Premature Infant with Bilateral Choanal Atresia and Esophageal Atresia/Tracheoesophageal Fistula
Perri Hopkins, Andrew Delle Donne, Luis Rohena, Jonathan Shapiro
NeoReviews Aug 2020, 21 (8) e577-e579; DOI: 10.1542/neo.21-8-e577

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Case 3: Premature Infant with Bilateral Choanal Atresia and Esophageal Atresia/Tracheoesophageal Fistula
Perri Hopkins, Andrew Delle Donne, Luis Rohena, Jonathan Shapiro
NeoReviews Aug 2020, 21 (8) e577-e579; DOI: 10.1542/neo.21-8-e577
del.icio.us logo Digg logo Reddit logo Twitter logo CiteULike logo Facebook logo Google logo Mendeley logo
Print
Download PDF
Insight Alerts
  • Table of Contents

Jump to section

  • Article
    • Presentation
    • Progression
    • Discussion
    • Footnotes
    • References
    • Suggested Reading
  • Info & Metrics
  • Comments

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • No citing articles found.
  • Google Scholar

More in this TOC Section

  • Case 2: An Inguinoscrotal Swelling in a Neonate at Birth: It’s Time to Expect the Unexpected
  • Case 1: Case of Lactic Acidosis in a Term Neonate
  • Case 3: Case of a Drooling Infant
Show more Index of Suspicion in the Nursery

Similar Articles

  • Journal Info
  • Editorial Board
  • Overview
  • Licensing Information
  • Authors/Reviewers
  • Author Guidelines
  • Submit My Manuscript
  • Librarians
  • Institutional Subscriptions
  • Usage Stats
  • Support
  • Contact Us
  • Subscribe
  • Resources
  • Media Kit
  • About
  • NeoReviewsPlus
  • International Access
  • Terms of Use
  • Privacy Statement
  • FAQ
  • AAP.org
  • shopAAP
  • Follow American Academy of Pediatrics on Instagram
  • Visit American Academy of Pediatrics on Facebook
  • Follow American Academy of Pediatrics on Twitter
  • Follow American Academy of Pediatrics on Youtube
  • RSS
  • NeoReviews® and NeoReviewsPlus™ are supported, in part, through an educational grant from Abbott Nutrition, a division of Abbott Laboratories, Inc.
American Academy of Pediatrics

© 2021 American Academy of Pediatrics