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Published on: January 17, 2011
[One-lung anesthesia was successfully maintained by means of Fogarty Catheter in infants]
Chieko Fujiwara1, Yuki Sato, Kazuhiro Shoji
1Department of Anesthesiology, Jikei University, School of Medicine, Tokyo 105-8461.
Insights
This study demonstrates the successful use of Fogarty catheters for one-lung anesthesia in infants undergoing lung surgery. This technique provides a clear surgical field and is safe for pediatric patients.
Area of Science:
- Pediatric Anesthesiology
- Thoracic Surgery
- Medical Device Innovation
Background:
- Establishing one-lung anesthesia in infants presents unique challenges.
- Traditional methods may have limitations in pediatric thoracic procedures.
- Novel approaches are needed for safe and effective pediatric anesthesia.
Observation:
- Two infants underwent thoracic surgery requiring one-lung anesthesia.
- Fogarty catheters were utilized as selective bronchial blockers.
- Computed tomography (CT) imaging guided catheter sizing and placement.
- Bronchoscopy and X-ray fluoroscopy confirmed catheter position.
Findings:
- Successful one-lung anesthesia was achieved in both pediatric cases.
- The Fogarty catheter technique provided excellent surgical field visualization.
- No perioperative complications were observed.
- Preoperative CT-based measurements ensured appropriate catheter selection.
Implications:
- Fogarty catheter use is a viable and safe method for pediatric one-lung anesthesia.
- This technique can be recommended for infants undergoing thoracic surgery.
- CT imaging and bronchoscopy are crucial for successful implementation.
- Improved surgical outcomes may be achieved with this approach.
Abstract:
We experienced one-lung anesthesia using Fogarty catheter as a selective bronchial blocker in two infants. First case was a one-year and ten month-old female who underwent partial resection of the right middle lobe for her giant lung cyst under general anesthesia. Second case was an eight-month-old male who underwent thoracoscopic resection of his left mediastinal tumor under general anesthesia. One-lung anesthesia was successfully established with Fogarty catheters for both cases. Size of the catheter and its balloon was decided beforehand by measuring the diameter and length of the trachea and both bronchi based on the image obtained from computerized tomography (CT) in both cases. Therefore, surgical field was well visible during operation. There was no accidental episode in perioperative period. Bronchoscopy with ultra-thin fiberscope and X-ray fluoroscopy is useful to decide the position of Fogarty catheter and its balloon. Our means is recommendable for maintenance of one-lung anesthesia in infant.
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