hi, we have a neonate patient about 18 days old who had tracheo esophageal fistula, operated on but post operatively he developed leak from the site of operation. now he has bilateral chest infection with coarse inspiratory and expiratory crackles but he is unable to expectorate the secretions as he is very weak, what is your advice?
HIT hanks for posting your query.  First he needs to be put on combination of Antibiotics, one to cover aerobic bacteria and another anaerobic bacteria.  Also, a test called Sputum/ ET Aspirate Culture sensitivity, this report will help us in deciding which is the right Antibiotic for your baby. He needs to be observed in ICU and his Oxygen saturation has to be monitored continuously.  Any significant Chat Doctor.  If his is on ventilatory secretions can be aspirated through suctioning through ET tube. If not on ventilatory mild chest physiotherapy may help.  Hope this information was useful to you.  Any clarifications feel free to ask.