Paediatric one lung anaesthesia by selective bronchial intubation.
One lung anaesthesia in paediatric patients may not always be achievable by bronchial blockade or double lumen tube intubation due to inadequate experiences or facilities. We attempted to isolate right lung by selectively intubating the left bronchus with single lumen tube on a 10 kg child. Optimal surgical condition and satisfactory oxygenation achieved but complicated with severe respiratory acidosis. The possible causes for hypercapnea in this child were discussed.
Department of Anaesthesiology and Intensive Care, Hospital Universiti Kebangsaan Malaysia, Bandar Tun Razak Cheras, Jalan Yaacob Latif, 56000 Kuala Lumpur, Malaysia. lewys@pd.jaring.my
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Lew
D000142:Acidosis, Respiratory / Q000097:blood / Q000209:etiology*; D000367:Age Factors; D000769:Anesthesia, Inhalation / Q000009:adverse effects* / Q000295:instrumentation / Q000379:methods*; D001784:Blood Gas Analysis; D001835:Body Weight; D004653:Empyema / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D006801:Humans; D006935:Hypercapnia / Q000097:blood / Q000209:etiology*; D007223:Infant; D007442:Intubation, Intratracheal / Q000009:adverse effects* / Q000295:instrumentation / Q000379:methods*; D016343:Monitoring, Intraoperative; D011859:Radiography; D013908:Thoracotomy / Q000009:adverse effects / Q000379:methods; D016896:Treatment Outcome