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[Pediatric one-lung anesthesia with a Fogarty catheter]
M Yasumoto1, I Harasawa, M Mori
1Department of Anesthesiology, School of Medicine, Fukuoka University.
Masui. the Japanese Journal of Anesthesiology
|July 1, 1994
Summary
The Fogarty catheter offers a safe and effective method for pediatric one-lung anesthesia, particularly when specialized equipment is unavailable. This technique successfully prevented hypoxia and lung complications in two pediatric cases.
Area of Science:
- Anesthesiology
- Pediatric Surgery
- Thoracic Surgery
Context:
- Pediatric patients undergoing thoracic surgery often require one-lung anesthesia.
- Availability of specialized equipment like double lumen endobronchial tubes or endobronchial blockers can be limited for pediatric cases.
- Alternative methods for achieving one-lung ventilation are crucial in pediatric anesthesiology.
Purpose:
- To evaluate the efficacy and safety of using a Fogarty catheter for one-lung anesthesia in pediatric patients.
- To present case studies demonstrating the successful application of this technique in complex pediatric surgical scenarios.
Summary:
- Two pediatric cases, an 8-year-old male with coarctation of the aorta and a 13-year-old female with a lung tumor, underwent successful one-lung anesthesia using a Fogarty catheter.
- No hypoxic episodes occurred during the procedures.
- Postoperative outcomes were favorable, with no reported atelectasis or barotrauma.
Impact:
- The Fogarty catheter presents a viable alternative for pediatric one-lung anesthesia, especially when smaller-sized double lumen endobronchial tubes or blockers are not accessible.
- This method can enhance anesthetic management options for pediatric thoracic procedures, improving patient safety and outcomes.