Anesthesia for thoracic surgery in infants and children

Teresa Murray-Torres, Peter Winch, Aymen Naguib, Joseph Tobias

Research output: Contribution to journalReview articlepeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)283-299
Number of pages17
JournalSaudi Journal of Anaesthesia
Volume15
Issue number3
DOIs
StatePublished - Jul 1 2021

Keywords

  • One-lung ventilation
  • pediatric anesthesia
  • thoracic surgery
  • thoracoscopy
  • thoracotomy

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