Related Experiment Video
Updated: Jun 5, 2026

Non-Intubated Video-Assisted Thoracoscopic Surgery
Published on: May 26, 2023
Anaesthetic implications of paediatric thoracoscopy
Nandini Dave1, Sarita Fernandes
1Department of Anaesthesiology, BYL Nair Hospital & TN Medical College, Mumbai - 400008, India.
Insights
Pediatric thoracic surgery anesthesia requires specialized care, integrating pediatric and thoracic anesthesia principles. Key aspects include preoperative assessment, induction, maintenance, postoperative pain relief, and one-lung ventilation techniques for optimal surgical conditions.
Area of Science:
- Pediatric Anesthesiology
- Thoracic Anesthesia
- Pediatric Thoracic Surgery
Background:
- Thoracic surgical procedures in children necessitate a unique anesthetic approach, merging pediatric and thoracic anesthesia knowledge.
- Optimal surgical visualization is paramount, often requiring specialized ventilation techniques.
Purpose of the Study:
- To outline the essential principles of anesthetic management for pediatric thoracoscopic surgery.
- To discuss techniques for achieving one-lung ventilation in pediatric patients during thoracic procedures.
Main Methods:
- Review of anesthetic considerations for pediatric thoracoscopic surgery.
- Discussion of preoperative evaluation, induction, maintenance, and postoperative analgesia strategies.
- Detailed explanation of one-lung ventilation techniques and anesthetic principles in the pediatric population.
Main Results:
- Comprehensive overview of anesthetic care tailored for pediatric thoracic surgery.
- Specific guidance on managing one-lung ventilation in children undergoing thoracoscopic procedures.
Conclusions:
- Anesthetic management for pediatric thoracic surgery requires a synthesis of specialized knowledge.
- Effective one-lung ventilation is a critical component for successful outcomes in pediatric thoracoscopic surgery.
Abstract:
Anaesthetic care during thoracic surgical procedures in children combines components of the knowledge bases of paediatric anaesthesia with those of thoracic anaesthesia. This article highlights the principles of anaesthesia during thoracoscopic surgery in children including preoperative evaluation, anaesthetic induction techniques, maintenance anaesthesia and options for postoperative analgesia. In addition, given the need to provide optimal surgical visualization during the procedure, one lung ventilation may be required. Techniques to provide one lung ventilation in the paediatric patient and the principles of anaesthesia care during one lung ventilation are discussed.
Related Concept Videos
Parenteral Anesthetics: Overview
General Anesthesia: Overview
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
Endoscopic Studies II: Thoracocentesis
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Inhalational Anesthetics: Overview
Local Anesthetics: Clinical Application as Epidural Anesthesia
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due to...

