Anesthetic management of zero-day tracheoesophageal fistula with taussig bing anomaly

Neonatal babies have specic physiological and pharmacological considerations regarding anesthesia. Newborns from 0 to 28 days are more likely to suffer from adverse cardiopulmonary conditions during the perioperative period. This paper presents the case of a zero-day baby with multiple Congenital Cardiac anomalies like Taussig-Bing Anomaly (DORV, VSD, PDA), Levocardia, TGA, and distal Tracheoesophageal Fistula (TEF) for emergency surgical repair. It addresses the anesthetic challenges like awake intubation for securing the complex airway and maintaining an adequate ventilation-perfusion ratio.