Anaesthetic management for a left pneumonectomy in a child with bronchopleural fistula.
The anaesthetic management of a left pneumonectomy in a 18-month-old girl with a bronchopleural fistula is described. An ordinary tracheal tube was slit at the bevel to ensure upper lobe ventilation on right endobronchial intubation. A combination of a bronchial blocker, endobronchial intubation with a slit tube, and nerve blocks for these manoeuvres was used. Pain relief by a thoracic epidural block ensured good physiotherapy and a comfortable postoperative period.
Vas
L
L
Bai Jerbai Wadia Hospital for Children, Acharya Donde Marg, Parel, Bombay 400 012, India.
Naregal
F
F
Nobre
S
S
Dongre
H
H
D015360:Analgesia, Epidural / Q000379:methods; D000769:Anesthesia, Inhalation; D000779:Anesthetics, Local / Q000627:therapeutic use; D001983:Bronchial Fistula / Q000150:complications*; D001999:Bronchoscopy; D002045:Bupivacaine / Q000627:therapeutic use; D002404:Catheterization / Q000295:instrumentation; D004867:Equipment Design; D005260:Female; D005930:Glossopharyngeal Nerve; D006801:Humans; D007223:Infant; D007442:Intubation, Intratracheal / Q000295:instrumentation; D007823:Laryngeal Nerves; D009407:Nerve Block; D010149:Postoperative Pain / Q000517:prevention & control; D026741:Physical Therapy Modalities; D010995:Pleural Diseases / Q000150:complications*; D011013:Pneumonectomy; D016156:Respiratory Tract Fistula / Q000150:complications*; D013499:Surface Properties; D014397:Tuberculosis, Pulmonary / Q000601:surgery*
D000779:Anesthetics, Local; D002045:Bupivacaine