TY - JOUR
T1 - Anesthesia for thoracic surgery in infants and children
AU - Murray-Torres, Teresa
AU - Winch, Peter
AU - Naguib, Aymen
AU - Tobias, Joseph
N1 - Publisher Copyright:
© 2021 Saudi Journal of Anesthesia | Published by Wolters Kluwer - Medknow.
PY - 2021/7/1
Y1 - 2021/7/1
N2 - The management of infants and children presenting for thoracic surgery poses a variety of challenges for anesthesiologists. A thorough understanding of the implications of developmental changes in cardiopulmonary anatomy and physiology, associated comorbid conditions, and the proposed surgical intervention is essential in order to provide safe and effective clinical care. This narrative review discusses the perioperative anesthetic management of pediatric patients undergoing noncardiac thoracic surgery, beginning with the preoperative assessment. The considerations for the implementation and management of one-lung ventilation (OLV) will be reviewed, and as will the anesthetic implications of different surgical procedures including bronchoscopy, mediastinoscopy, thoracotomy, and thoracoscopy. We will also discuss pediatric-specific disease processes presenting in neonates, infants, and children, with an emphasis on those with unique impact on anesthetic management.
AB - The management of infants and children presenting for thoracic surgery poses a variety of challenges for anesthesiologists. A thorough understanding of the implications of developmental changes in cardiopulmonary anatomy and physiology, associated comorbid conditions, and the proposed surgical intervention is essential in order to provide safe and effective clinical care. This narrative review discusses the perioperative anesthetic management of pediatric patients undergoing noncardiac thoracic surgery, beginning with the preoperative assessment. The considerations for the implementation and management of one-lung ventilation (OLV) will be reviewed, and as will the anesthetic implications of different surgical procedures including bronchoscopy, mediastinoscopy, thoracotomy, and thoracoscopy. We will also discuss pediatric-specific disease processes presenting in neonates, infants, and children, with an emphasis on those with unique impact on anesthetic management.
KW - One-lung ventilation
KW - pediatric anesthesia
KW - thoracic surgery
KW - thoracoscopy
KW - thoracotomy
UR - http://www.scopus.com/inward/record.url?scp=85108817539&partnerID=8YFLogxK
U2 - 10.4103/sja.SJA_350_20
DO - 10.4103/sja.SJA_350_20
M3 - Review article
C2 - 34764836
AN - SCOPUS:85108817539
SN - 1658-354X
VL - 15
SP - 283
EP - 299
JO - Saudi Journal of Anaesthesia
JF - Saudi Journal of Anaesthesia
IS - 3
ER -