Anaesthetic management of a neonate with congenital cyst adenoid malformation.

Abstract:

:We report the anaesthetic management of a male neonate with congenital cyst adenoid malformation (CCAM) of the lung who underwent thoracotomy for resection of CCAM 24 h after birth and again at 24 days. The initial operation involved a 10-day admission to a paediatric intensive care unit (PICU) requiring ventilation, and was complicated by a pneumothorax. This report concentrates on the anaesthetic management for the second thoracotomy. The combination of intra-operative remifentanil infusion and the use of ultrasound to confirm correct placement of epidural catheter allowed on-table tracheal extubation and a shorter stay in PICU. The use of one-lung ventilation (OLV) allowed for better surgical access and enabled complete resection of the lesion.

journal_name

Br J Anaesth

authors

Guruswamy V,Roberts S,Arnold P,Potter F

doi

10.1093/bja/aei171

subject

Has Abstract

pub_date

2005-08-01 00:00:00

pages

240-2

issue

2

eissn

0007-0912

issn

1471-6771

pii

S0007-0912(17)34940-1

journal_volume

95

pub_type

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