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  • Pediatric Reports is published by MDPI from Volume 12 Issue 3 (2020). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.
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6 August 2020

Anesthetic Management of Pulmonary Surgery in Newborns and Infants

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and
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
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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.

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