Anaesthetic management for a left pneumonectomy in a child with bronchopleural fistula

Summary The anaesthetic management of a left pneumonectomy in a 18‐month‐old girl with a bronchopleural fistula is described. An ordinary tracheal tube was slit at the bevel to ensure upper lobe ventilation on right endobronchial intubation. A combination of a bronchial blocker, endobronchial intuba...

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Bibliographic Details
Published in:Pediatric anesthesia 2000, Vol.10 (2), p.210-214
Main Authors: Vas, Lakshmi, Naregal, Falguni, Nobre, Subita, Dongre, Hanspal
Format: Article
Language:English
Subjects:
Analgesia, Epidural - methods
Anesthesia
Anesthesia depending on type of surgery
Anesthesia, Inhalation
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Anesthetics, Local - therapeutic use
Biological and medical sciences
Bronchial Fistula - complications
bronchopleural fistula
Bronchoscopy
Bupivacaine - therapeutic use
Catheterization - instrumentation
Equipment Design
Female
Glossopharyngeal Nerve
Humans
Infant
Intubation, Intratracheal - instrumentation
Laryngeal Nerves
Medical sciences
Nerve Block
Pain, Postoperative - prevention & control
Physical Therapy Modalities
Pleural Diseases - complications
Pneumonectomy
Respiratory Tract Fistula - complications
Surface Properties
Thoracic and cardiovascular surgery. Cardiopulmonary bypass
Tuberculosis, Pulmonary - surgery
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Summary:Summary The anaesthetic management of a left pneumonectomy in a 18‐month‐old girl with a bronchopleural fistula is described. An ordinary tracheal tube was slit at the bevel to ensure upper lobe ventilation on right endobronchial intubation. A combination of a bronchial blocker, endobronchial intubation with a slit tube, and nerve blocks for these manoeuvres was used. Pain relief by a thoracic epidural block ensured good physiotherapy and a comfortable postoperative period.
ISSN:1155-5645
1460-9592
DOI:10.1046/j.1460-9592.2000.00474.x