Anesthetic challenges in a child with congenital pulmonary airway malformation for right lower lobectomy
Congenital pulmonary airway malformation is a rare benign airway malformation, affecting the trachea, bronchi, bronchiolar, or alveolar systems with cystic and adenomatous lesions. This sequestered part of the lung becomes nonfunctioning and causes recurrent pulmonary infections. The definitive trea...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2023-07-01
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| Series: | Journal of Current Research in Scientific Medicine |
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| Online Access: | https://journals.lww.com/10.4103/jcrsm.jcrsm_32_22 |
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| author | Sumitha Natarajan Nagalakshmi Palanisamy Mamie Zachariah Pradeesh T Johny |
| author_facet | Sumitha Natarajan Nagalakshmi Palanisamy Mamie Zachariah Pradeesh T Johny |
| author_sort | Sumitha Natarajan |
| collection | DOAJ |
| description | Congenital pulmonary airway malformation is a rare benign airway malformation, affecting the trachea, bronchi, bronchiolar, or alveolar systems with cystic and adenomatous lesions. This sequestered part of the lung becomes nonfunctioning and causes recurrent pulmonary infections. The definitive treatment is surgical resection of the diseased segments by thoracotomy requiring general anesthesia and controlled ventilation. The anesthetic challenges in pediatric lung surgeries are airway management, the requirement of one-lung ventilation, and maintaining saturation. The lung separation maneuvers in pediatric patients are difficult due to the nonavailability of appropriate size double-lumen endotracheal tube (ETT) or one-lung ventilation with bronchial blockers. We present how we managed to provide general anesthesia and controlled ventilation using single-lumen ETT to provide a good operating condition for right lower lobectomy. |
| format | Article |
| id | doaj-art-8a4f4ab75f424c96a01b7d7733917674 |
| institution | DOAJ |
| issn | 2542-6273 2455-3069 |
| language | English |
| publishDate | 2023-07-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Current Research in Scientific Medicine |
| spelling | doaj-art-8a4f4ab75f424c96a01b7d77339176742025-08-20T03:02:03ZengWolters Kluwer Medknow PublicationsJournal of Current Research in Scientific Medicine2542-62732455-30692023-07-019218819010.4103/jcrsm.jcrsm_32_22Anesthetic challenges in a child with congenital pulmonary airway malformation for right lower lobectomySumitha NatarajanNagalakshmi PalanisamyMamie ZachariahPradeesh T JohnyCongenital pulmonary airway malformation is a rare benign airway malformation, affecting the trachea, bronchi, bronchiolar, or alveolar systems with cystic and adenomatous lesions. This sequestered part of the lung becomes nonfunctioning and causes recurrent pulmonary infections. The definitive treatment is surgical resection of the diseased segments by thoracotomy requiring general anesthesia and controlled ventilation. The anesthetic challenges in pediatric lung surgeries are airway management, the requirement of one-lung ventilation, and maintaining saturation. The lung separation maneuvers in pediatric patients are difficult due to the nonavailability of appropriate size double-lumen endotracheal tube (ETT) or one-lung ventilation with bronchial blockers. We present how we managed to provide general anesthesia and controlled ventilation using single-lumen ETT to provide a good operating condition for right lower lobectomy.https://journals.lww.com/10.4103/jcrsm.jcrsm_32_22congenital pulmonary airway malformationlobectomylung sequestrationpediatric anesthesia |
| spellingShingle | Sumitha Natarajan Nagalakshmi Palanisamy Mamie Zachariah Pradeesh T Johny Anesthetic challenges in a child with congenital pulmonary airway malformation for right lower lobectomy Journal of Current Research in Scientific Medicine congenital pulmonary airway malformation lobectomy lung sequestration pediatric anesthesia |
| title | Anesthetic challenges in a child with congenital pulmonary airway malformation for right lower lobectomy |
| title_full | Anesthetic challenges in a child with congenital pulmonary airway malformation for right lower lobectomy |
| title_fullStr | Anesthetic challenges in a child with congenital pulmonary airway malformation for right lower lobectomy |
| title_full_unstemmed | Anesthetic challenges in a child with congenital pulmonary airway malformation for right lower lobectomy |
| title_short | Anesthetic challenges in a child with congenital pulmonary airway malformation for right lower lobectomy |
| title_sort | anesthetic challenges in a child with congenital pulmonary airway malformation for right lower lobectomy |
| topic | congenital pulmonary airway malformation lobectomy lung sequestration pediatric anesthesia |
| url | https://journals.lww.com/10.4103/jcrsm.jcrsm_32_22 |
| work_keys_str_mv | AT sumithanatarajan anestheticchallengesinachildwithcongenitalpulmonaryairwaymalformationforrightlowerlobectomy AT nagalakshmipalanisamy anestheticchallengesinachildwithcongenitalpulmonaryairwaymalformationforrightlowerlobectomy AT mamiezachariah anestheticchallengesinachildwithcongenitalpulmonaryairwaymalformationforrightlowerlobectomy AT pradeeshtjohny anestheticchallengesinachildwithcongenitalpulmonaryairwaymalformationforrightlowerlobectomy |