Which of the following is a primary management step for Tracheoesophageal Fistula?

Making the infant NPO (nothing by mouth) is a primary management step for tracheoesophageal fistula (TEF). This is crucial as TEF presents a significant risk of aspiration and airway compromise due to abnormal connections between the trachea and esophagus. By keeping the infant NPO, the likelihood of feeding entering the trachea is minimized, thereby preventing pneumonitis and other complications associated with aspiration.

In cases of TEF, prompt recognition and intervention are key to ensuring the safety and well-being of the infant. Keeping the infant NPO allows for further assessment and surgical planning, which is typically necessary for definitive treatment of this congenital condition. The ultimate goal is to address the anatomical defect through surgical correction, and making the infant NPO is an essential first step to protect them from harm until that can be accomplished.