» Articles » PMID: 32922712

Anesthetic Management of Pulmonary Surgery in Newborns and Infants

Overview
Journal Pediatr Rep
Publisher MDPI
Specialty Pediatrics
Date 2020 Sep 14
PMID 32922712
Authors
Affiliations
Soon will be listed here.
Abstract

The main congenital pulmonary airways malformations in newborns and infants requiring surgery are cystic adenoid malformation, congenital lobar emphysema and bronchogenic cyst. The surgical treatment preferably via thoracoscopy is recommended within the first year of life to avoid the risk of pneumopathy. A monopulmonary ventilation is then required by the surgeon to operate the diseased lung. The anesthetic management of intraoperative mono-pulmonary ventilation in newborns and infants is always challenging for the anesthesiologist. The main objective of this study was to describe anesthetic protocol for thoracoscopy and variations of monitored parameters during a mono-pulmonary ventilation procedure in newborns and infants.

References
1.
Adams S, Jobson M, Sangnawakij P, Heetun A, Thaventhiran A, Johal N . Does thoracoscopy have advantages over open surgery for asymptomatic congenital lung malformations? An analysis of 1626 resections. J Pediatr Surg. 2016; 52(2):247-251. DOI: 10.1016/j.jpedsurg.2016.11.014. View

2.
Koizumi K, Haraguchi S, Hirata T, Hirai K, Mikami I, Kubokura H . Thoracoscopic surgery in children. J Nippon Med Sch. 2005; 72(1):34-42. DOI: 10.1272/jnms.72.34. View

3.
Johnson S, Grace N, Edwards M, Woo R, Puapong D . Thoracoscopic segmentectomy for treatment of congenital lung malformations. J Pediatr Surg. 2011; 46(12):2265-9. DOI: 10.1016/j.jpedsurg.2011.09.012. View

4.
Lee E, Dorkin H, Vargas S . Congenital pulmonary malformations in pediatric patients: review and update on etiology, classification, and imaging findings. Radiol Clin North Am. 2011; 49(5):921-48. DOI: 10.1016/j.rcl.2011.06.009. View

5.
Marciniak B . [Single lung ventilation techniques in children]. Ann Fr Anesth Reanim. 2009; 28(7-8):678-9. DOI: 10.1016/j.annfar.2009.06.011. View