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Single-lung ventilation in infants and children
1Lucile Packard Children's Hospital, Stanford University School of Medicine, Stanford University Medical Center, Stanford, CA 94305-5640, USA. ham@stanford.edu
Paediatric Anaesthesia
|January 14, 2004
Summary
Video-assisted thoracoscopic surgery (VATS) use has grown significantly. Single-lung ventilation (SLV) is increasingly preferred for VATS and open thoracotomies in pediatric patients for better surgical conditions.
Area of Science:
- Thoracic Surgery
- Pediatric Anesthesia
- Minimally Invasive Procedures
Background:
- Video-assisted thoracoscopic surgery (VATS) has seen a substantial rise in utilization for both pediatric and adult patients over the last ten years.
- While VATS can be conducted with both lungs ventilated, single-lung ventilation (SLV) offers distinct advantages during the procedure.
Purpose of the Study:
- To highlight the increasing trend of single-lung ventilation (SLV) in pediatric thoracic surgery.
- To underscore the growing demand for SLV by pediatric surgeons and its performance by anesthesiologists for both VATS and open thoracotomies in infants and children.
Main Methods:
- Review of current surgical and anesthetic practices in pediatric thoracic procedures.
- Analysis of the indications and benefits of single-lung ventilation (SLV) in pediatric VATS and open thoracotomies.
Main Results:
- Significant increase in the application of VATS in pediatric surgery over the past decade.
- Growing preference and requirement for single-lung ventilation (SLV) in pediatric thoracic interventions.
Conclusions:
- Single-lung ventilation (SLV) is becoming a standard and requested technique in pediatric thoracic surgery, including VATS and open procedures.
- The trend indicates a shift towards techniques providing optimal surgical field exposure and patient management in pediatric thoracic interventions.