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Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
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Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia

Published on: May 26, 2023

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One lung ventilation strategies for infants and children undergoing video assisted thoracoscopic surgery

Teddy Suratos Fabila1, Shahani Jagdish Menghraj

  • 1Department of Paediatric Anaesthesia, Kandang Kerbau Women's and Children's Hospital, 100 Bukit Timah Road, Singapore.

Indian Journal of Anaesthesia
|October 29, 2013
PubMed

Insights

This review covers one-lung ventilation strategies for pediatric video-assisted thoracoscopic surgery (VATS). It details device selection and usage for lung isolation in infants and children undergoing VATS.

Area of Science:

  • Pediatric surgery
  • Thoracic surgery
  • Anesthesiology

Background:

  • Video-assisted thoracoscopic surgery (VATS) is increasingly used in pediatric patients.
  • Effective one-lung ventilation (OLV) is crucial for successful pediatric VATS.
  • Anatomical and physiological variations in children necessitate specialized OLV techniques.

Purpose of the Study:

  • To provide a comprehensive review of OLV strategies for infants and children undergoing VATS.
  • To guide critical decision-making regarding device selection for lung isolation.
  • To discuss the advantages, limitations, and techniques for OLV devices in pediatric patients.

Main Methods:

  • Systematic literature search using terms like 'One lung ventilation for infants and children' and 'Video assisted thoracoscopic surgery for infants and children'.
  • Databases searched included KKH eLibrary, PubMed, Ovid Medline, Cochrane Central Register of Controlled Trials, and Cochrane Database of Systematic Reviews.
  • Focus on randomized control trials, case reports, review articles, and editorials relevant to pediatric OLV.

Main Results:

  • Discussion of critical decision-making factors for device selection (age, weight, pathology).
  • Detailed review of various devices for lung isolation in pediatric VATS.
  • Analysis of advantages, limitations, insertion, and maintenance techniques for each device.

Conclusions:

  • Optimal selection and application of OLV devices are essential for pediatric VATS.
  • This review offers guidance for clinicians managing OLV in infants and children.
  • Further research may refine OLV techniques to accommodate pediatric variations.

Keywords:
Balloon-tipped bronchial blockersdouble lumen endobronchial tubesinfants and childrenone lung ventilationunivent tubesvideo assisted thoracoscopic surgery

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