[One-lung anesthesia was successfully maintained by means of Fogarty Catheter in infants].
We experienced one-lung anesthesia using Fogarty catheter as a selective bronchial blocker in two infants. First case was a one-year and ten month-old female who underwent partial resection of the right middle lobe for her giant lung cyst under general anesthesia. Second case was an eight-month-old male who underwent thoracoscopic resection of his left mediastinal tumor under general anesthesia. One-lung anesthesia was successfully established with Fogarty catheters for both cases. Size of the catheter and its balloon was decided beforehand by measuring the diameter and length of the trachea and both bronchi based on the image obtained from computerized tomography (CT) in both cases. Therefore, surgical field was well visible during operation. There was no accidental episode in perioperative period. Bronchoscopy with ultra-thin fiberscope and X-ray fluoroscopy is useful to decide the position of Fogarty catheter and its balloon. Our means is recommendable for maintenance of one-lung anesthesia in infant.
Fujiwara
Chieko
C
Department of Anesthesiology, Jikei University, School of Medicine, Tokyo 105-8461.
Sato
Yuki
Y
Shoji
Kazuhiro
K
Onozawa
Hiroshi
H
Takinami
Masanori
M
Kamide
Masayuki
M
Tanifuji
Yasumasa
Y
D000768:Anesthesia, General / Q000379:methods*; D002404:Catheterization / Q000295:instrumentation*; D003560:Cysts / Q000601:surgery; D005260:Female; D006801:Humans; D007223:Infant; D008171:Lung Diseases / Q000601:surgery; D008297:Male; D008479:Mediastinal Neoplasms / Q000601:surgery; D011013:Pneumonectomy; D012121:Respiration, Artificial / Q000295:instrumentation*; D013906:Thoracoscopy