Anesthetic challenges in a child with congenital pulmonary airway malformation for right lower lobectomy.

Autor: Natarajan, Sumitha, Palanisamy, Nagalakshmi, Zachariah, Mamie, Johny, Pradeesh T.
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Zdroj: Journal of Current Research in Scientific Medicine; Jul-Dec2023, Vol. 9 Issue 2, p188-190, 3p
Abstrakt: Congenital pulmonary airway malformation is a rare benign airway malformation, affecting the trachea, bronchi, bronchiolar, or alveolar systems with cystic and adenomatous lesions. This sequestered part of the lung becomes nonfunctioning and causes recurrent pulmonary infections. The definitive treatment is surgical resection of the diseased segments by thoracotomy requiring general anesthesia and controlled ventilation. The anesthetic challenges in pediatric lung surgeries are airway management, the requirement of one-lung ventilation, and maintaining saturation. The lung separation maneuvers in pediatric patients are difficult due to the nonavailability of appropriate size double-lumen endotracheal tube (ETT) or one-lung ventilation with bronchial blockers. We present how we managed to provide general anesthesia and controlled ventilation using single-lumen ETT to provide a good operating condition for right lower lobectomy. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index