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Article

Anesthetic Management of Pulmonary Surgery in Newborns and Infants

1
Anesthesia and Intensive Care Unit, La Timone Children’s Hospital, AP-HM, Marseille
2
Diaphragmatic Hernias Reference Center, Pediatric Visceral Surgery Unit, La Timone Children’s Hospital, AP-HM, Marseille
3
Anesthesia and Intensive Care Unit, La Timone Children’s Hospital, AP-HM, Marseille; AMU UMR ADES 7268, Mediterranean Ethical Space, Timone Adults, Marseille
*
Author to whom correspondence should be addressed.
Pediatr. Rep. 2020, 12(2), 8595; https://doi.org/10.4081/pr.2020.8595
Submission received: 21 April 2020 / Revised: 23 June 2020 / Accepted: 24 June 2020 / Published: 6 August 2020

Abstract

The main congenital pulmonary airways malformations in newborns and infants requiring surgery are cystic adenoid malformation, congenital lobar emphysema and bronchogenic cyst. The surgical treatment preferably via thoracoscopy is recommended within the first year of life to avoid the risk of pneumopathy. A monopulmonary ventilation is then required by the surgeon to operate the diseased lung. The anesthetic management of intraoperative mono-pulmonary ventilation in newborns and infants is always challenging for the anesthesiologist. The main objective of this study was to describe anesthetic protocol for thoracoscopy and variations of monitored parameters during a mono-pulmonary ventilation procedure in newborns and infants.
Keywords: congenital pulmonary airways malformations; newborn; infants; thoracic surgery; anesthesia congenital pulmonary airways malformations; newborn; infants; thoracic surgery; anesthesia

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MDPI and ACS Style

Caruselli, M.; Galvagni, D.; Boubnova, J.; Michel, F. Anesthetic Management of Pulmonary Surgery in Newborns and Infants. Pediatr. Rep. 2020, 12, 8595. https://doi.org/10.4081/pr.2020.8595

AMA Style

Caruselli M, Galvagni D, Boubnova J, Michel F. Anesthetic Management of Pulmonary Surgery in Newborns and Infants. Pediatric Reports. 2020; 12(2):8595. https://doi.org/10.4081/pr.2020.8595

Chicago/Turabian Style

Caruselli, Marco, Daniele Galvagni, Julia Boubnova, and Fabrice Michel. 2020. "Anesthetic Management of Pulmonary Surgery in Newborns and Infants" Pediatric Reports 12, no. 2: 8595. https://doi.org/10.4081/pr.2020.8595

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