Anesthetic management of video-assisted thoracoscopic surgery (VATS) in pediatric patients: the issue of safety in infant and younger children / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 99-103, 2010.
Artículo
en Inglés
| WPRIM
| ID: wpr-165949
ABSTRACT
BACKGROUND:
The purpose of this study was to assess the safety issues concerning anesthetic management of video-assisted thoracoscopic surgery (VATS) in pediatric patients.METHODS:
The medical records of 52 pediatric patients undergoing VATS using general anesthesia and one-lung ventilation (OLV) were reviewed. OLV was achieved with a Fogarty catheter (n = 23) or endobronchial intubation (n = 7) in patients 50 mmHg) was observed more frequently in group Y (40%) than in group O (0%; P < 0.05). The difference between the ETCO2 and PaCO2 was 10.4 +/- 8.9 mmHg in group Y and 4.6 +/- 3.9 mmHg in group O (P < 0.05). Hypercarbia and acidosis occurred more frequently in patients with CO2 insufflation than those without insufflation in group Y.CONCLUSIONS:
Although the anesthesia for VATS in pediatric patients was successfully accomplished, the infants and younger children presented with more intra-operative problems when compared with older children. The anesthetic management for VATS in infants and younger children requires careful and vigilant monitoring.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Acidosis
/
Insuflación
/
Registros Médicos
/
Cirugía Torácica Asistida por Video
/
Catéteres
/
Ventilación Unipulmonar
/
Intubación
/
Anestesia
/
Anestesia General
/
Hipoxia
Límite:
Anciano
/
Niño
/
Humanos
/
Lactante
Idioma:
Inglés
Revista:
Korean Journal of Anesthesiology
Año:
2010
Tipo del documento:
Artículo
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