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Paediatric one lung ventilation in the prone position
M W Turner1, C C Buchanan, S W Brown
1Department of Anaesthesia, Waikato Hospital, Hamilton, New Zealand.
Insights
Pulmonary lobectomy with infected secretions needs lung isolation. A novel technique using a Fogarty catheter, tracheal tube, and prone position successfully isolated the lung, ensuring adequate ventilation and oxygenation during surgery.
Area of Science:
- Thoracic Surgery
- Pediatric Surgery
- Anesthesiology
Background:
- Pulmonary lobectomy with infected secretions necessitates isolating the affected lung to prevent contamination of healthy lung tissue.
- Current methods in pediatric patients often rely on Fogarty embolectomy catheters for lung isolation.
Abstract:
Pulmonary lobectomy in the presence of infected secretions requires isolation of the affected lung to prevent soiling of the healthy lung. In young children this is usually accomplished using a Fogarty embolectomy catheter. We report the successful combination of a Fogarty catheter, a tracheal tube and the prone position, which provided adequate ventilation and oxygenation as well as excellent surgical exposure.