Continuous caudal epidural analgesia for congenital lobar emphysema: a report of three cases.
In congenital lobar emphysema, positive pressure ventilation can expand the emphysematous lobe, compressing the normal lung during anesthesia induction. We managed the dual challenges of safe induction and analgesia for thoracotomy by placing thoracic epidural catheters via the caudal insertion site and retaining spontaneous ventilation until thoracotomy.
Raghavendran
S
S
Bai Jerbai Wadia Hospital for Children, Acharya Donde Marg, Parel, Mumbai, India.
Diwan
R
R
Shah
T
T
Vas
L
L
D000763:Anesthesia, Caudal; D006801:Humans; D007223:Infant; D007442:Intubation, Intratracheal; D011656:Pulmonary Emphysema / Q000151:congenital* / Q000601:surgery*