Program evaluation and interagency coordinationĬalifornia has established many goals for transportation electrification to accelerate the adoption of ZEVs and increase access to charging stations which guide the CPUC’s work on transportation electrification.Charging infrastructure deployment and incentives.Vehicle-grid integration (VGI) policy, pilots, and technology enablement.Distribution infrastructure and planning to support charging infrastructure. ![]() Strategic planning on ZEV policy and investments.The CPUC’s activities on transportation electrification primarily fall into six main categories: The CPUC also works closely with other state agencies to ensure electric IOU investments to support ZEVs are strategically coordinated and in the interest of ratepayers. As regulators of the state’s electric investor-owned utilities (IOUs), the CPUC applies its expertise and experience in electric rate design, electric system infrastructure deployment, grid management, and safety to support ZEV deployment. Next stepįor more information or to schedule an appointment, call 73.The CPUC plays a critical role in supporting the state’s transition to zero-emission vehicles (ZEVs). Within the first couple days of life, the baby will undergo surgery for definitive repair (ligation, or closing off, of the fistula with attempt to put the esophageal ends together) by our pediatric surgery team. These will be completed as needed after birth. Specific methods used to diagnose EA/TEF after birth include a chest x-ray showing an NG tube coiled in the esophagus, an x-ray test of the esophagus called an esophagram, and a bronchoscopy which is a procedure a doctor performs using a telescope and camera to examine the inside of the baby’s windpipe (trachea). VACTERL is an acronym used to describe the different birth defects that may be present at birth. An abdominal ultrasound to evaluate the kidneys (renal).An echocardiogram to evaluate for congenital heart disease. ![]() An abdominal and chest x-ray to evaluate if there is a distal fistula (air seen within the stomach and bowel) and/or vertebral anomalies.A physical exam to evaluate for limb anomalies or an anorectal malformation.Since a baby with EA/TEF will have other anomalies present at birth, a variety of tests will be conducted for a full assessment, including: There is no preference for vaginal or C-section delivery for a baby with suspected EA/TEF. EA/TEF baby deliveryĭelivery should be at a center with pediatric surgical expertise capable of treating EA/TEF. With early detection, however, our team can counsel families prenatally on the potential signs, implications of those signs and what to expect after birth of the baby should the baby have EA/TEF. There are currently no fetal interventions offered for EA/TEF. EA/TEF prenatal management and fetal treatment options ![]() These findings may or may not be present and EA/TEF is more often diagnosed after birth. Signs which may suggest EA/TEF include polyhydramnios (increased fluid in the uterus), an absent stomach, and a dilated esophageal pouch. While diagnosis of EA/TEF prenatally can be difficult, it is a congenital (forming before birth) anomaly that the Fetal Diagnosis and Treatment Center can sometimes detect. Pure EA without TEF is also possible (see diagram below for types). Tracheoesophageal fistula (TEF) is a connection most babies with EA have of one or both ends of the esophagus to the trachea (breathing tube). Instead, there is a break in the tube and food/liquid will not be able to pass. What is esophageal atresia (EA)?Įsophageal atresia (EA) is an anomaly seen in babies when the esophagus, or swallowing tube, is not a complete open tube. While EA/TEF is rare, occurring in 1 in 2,500 births, the two conditions are often present together and develop before birth. EA/TEF stands for esophageal atresia (EA) with or without tracheoesophageal fistula (TEF).
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