Safety issues of endobronchial intubation for one-lung ventilation in video-assisted thoracoscopic surgery in neonates: Can we extubate on the table?

[2] Different techniques described for one-lung ventilation (OLV) in pediatric patients may sound assuring, but it is practically difficult and challenging to execute. [...]techniques describe for older children cannot be extrapolated to neonatal practice. [2] Neonates are more prone to desaturation...

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Bibliographic Details
Published in:Saudi journal of anaesthesia 2017-04, Vol.11 (2), p.254-255
Main Authors: Kashyap, Lokesh, Nisa, Neisevilie, Chowdhury, Apala Roy, Khanna, Punit
Format: Article
Language:English
Subjects:
Anesthesia
Intubation
Letters to Editor
Newborn infants
Pediatrics
Surgery
Ventilators
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Summary:[2] Different techniques described for one-lung ventilation (OLV) in pediatric patients may sound assuring, but it is practically difficult and challenging to execute. [...]techniques describe for older children cannot be extrapolated to neonatal practice. [2] Neonates are more prone to desaturation during OLV due to increase oxygen consumption, more V/Q mismatch in lateral decubitus position,[2],[3],[4] and decrease functional residual capacity. The safety margin of MSB intubation for OLV is low due to tracheobronchial injury, obstruction of upper lobe bronchus, inability to provide endotracheal suction or PEEP to nondependent lung,[4] and minimal peri-tube leakage of air can underestimate the ETCO2.
ISSN:1658-354X
0975-3125
DOI:10.4103/1658-354X.203058