Case 50: A Routine Tonsillectomy and Adenoidectomy

  • John G. Brock-Utne


A 7-year-old immigrant boy is admitted for removal of tonsils and adenoids (T-A). The child was born at full-term delivery but needed tracheal intubation and suction at birth. He has always been a poor feeder and gets asthma attacks regularly. Despite that, according to the mother, he was doing well until after his arrival in the USA, 4 months ago. Since coming here, his asthma has worsened. He often gets severe episodes of coughing and vomiting and becomes tachypnoeic, tachycardic, and cyanotic. He also has had two episodes of pneumonia for which he was admitted to the hospital.


Tracheal Intubation Tracheoesophageal Fistula Intermittent Positive Pressure Ventilation Severe Episode Oral Midazolam 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. 1.
    Frates C, terMeulen DC, Yee WF. Congenital tracheoesophageal fistula (H-type) in a six year old. Clin Pediatr. 1990;29:117–9.CrossRefGoogle Scholar
  2. 2.
    Teasdale AR, Nielsen MS. Late presentation of tracheoesophageal fistula. Anaesthesia. 1994;49:307–8.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • John G. Brock-Utne
    • 1
  1. 1.Department of AnesthesiaStanford UniversityStanfordUSA

Personalised recommendations