Single-lung ventilation for pulmonary lobe resection in a newborn.
The increasing frequency of video-assisted thoracoscopic interventions as well as open thoracic surgical procedures in children demands appropriate anesthetic techniques to provide single-lung ventilation. A fiberoptically directed, wire-guided 5F endobronchial blocker for use in small infants has recently been devised. We report on the very special aspects of airway management in a newborn 3000-g infant who presented a major anesthetic and surgical challenge because of congenital emphysema of the left upper pulmonary lobe.


CONCLUSIONS
The special aspects of single-lung ventilation in a newborn 3000-g infant who presented a major anesthetic and surgical challenge because of congenital emphysema of the left upper pulmonary lobe are reported.
Schmidt
Christoph
C
Departments of *Anesthesiology and Surgical Intensive-Care Medicine, †Pediatrics, and ‡Chest, Heart, and Vascular Surgery, University of Münster Hospital, Münster, Germany; §Department of Anaesthesiology and Pain Management, The Canberra Hospital, Australian National University, Canberra, Australia; and ∥Department of Anesthesiology and Intensive-Care Medicine, St.-Antonius-Hospital, Kleve, Germany.
Rellensmann
Georg
G
Van Aken
Hugo
H
Semik
Michael
M
Bruessel
Thomas
T
Enk
Dietmar
D
D000768:Anesthesia, General; D006801:Humans; D007231:Infant, Newborn; D008168:Lung / Q000601:surgery*; D008297:Male; D011656:Pulmonary Emphysema / Q000150:complications / Q000151:congenital / Q000601:surgery; D012121:Respiration, Artificial; D020775:Thoracic Surgery, Video-Assisted