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Chapter 23 - Thoracic Surgery in Children

Published online by Cambridge University Press:  30 November 2019

By
Kasia Rubin
Edited by
Adam C. Adler ,
Arvind Chandrakantan  and
Ronald S. Litman
Adam C. Adler
Affiliation:
Texas Children's Hospital
Arvind Chandrakantan
Affiliation:
Texas Children's Hospital
Ronald S. Litman
Affiliation:
The Children's Hospital of Philadelphia
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Summary

This chapter, reviews thoracic surgery for a host of pathologies in children.The author discusses commonly encountered pediatric congenital lung tumors (i.e.. Congenital lobar emphysema and Congenital Cystic Adenomatous Malformations). Anesthetic implications for VATS vs open thoracotomy as well as approaches for one lung ventilation is considered. Treatment of intraoperative pulmonary issues as well as strategies for post-operative analgesia are presented.

Keywords

Thoracic Surgerylung massVideo-assisted thoracoscopic surgeryVATSthoracotomylung isolationDouble Lumen TubeBronchial Blockercongenital lung malformationsCongenital lobar emphysemaCongenital Pulmonary Airway MalformationBronchopulmonary sequestration
Type
Chapter
Information
Case Studies in Pediatric Anesthesia , pp. 104 - 107
Publisher: Cambridge University Press
Print publication year: 2019

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References

Suggested Reading

Adler, AC, Yim, MM, Chandrakantan, A. Erector spinae plane catheter for neonatal thoracotomy: a potentially safer alternative to a thoracic epidural. Can J Anaesth. 2019;66(5):607–8. PMID: 30656616.CrossRefGoogle ScholarPubMed
Biyyam, DR, Chapman, T, Ferguson, MR, et al. Congenital lung abnormalities: embryologic features, prenatal diagnosis, and postnatal radiologic-pathologic correlation. Radiographics. 2010;30(6):1721–38. PMID: 21071385.CrossRefGoogle ScholarPubMed
Dishop, MK, Kuruvilla, S. Primary and metastatic lung tumors in the pediatric population: a review and 25-year experience at a large children’s hospital. Arch Pathol Lab Med. 2008;132(7):1079–103. PMID: 18605764.CrossRefGoogle Scholar
Golianu, B, Hammer, GB. Pediatric thoracic anesthesia and pain management for pediatric thoracic surgery. Curr Opin Anaesthesiol. 2005;18(1):5–11. PMID: 16534311.CrossRefGoogle Scholar
Kumar, K, Basker, S, Jeslin, L, et al. Anaesthesia for pediatric video assisted thoracoscopic surgery. J Anaesthesiol Clin Pharmacol. 2011;27(1):12–26. PMID: 21804698.CrossRefGoogle ScholarPubMed
Patel, NV, Glover, C, Adler, AC. Erector spinae plane catheter for postoperative analgesia after thoracotomy in a pediatric patient: A case report. A A Pract. 2019;12(9):299–301. PMID: 30844822.Google Scholar
Shah, R, Reddy, AS, Dhende, NP. Video assisted thoracic surgery in children. J Minim Access Surg. 2007;3(4):161–7. PMID: 19789677.CrossRefGoogle ScholarPubMed

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