title: [Anesthetic management with remifentanil during thoracic surgery in a pediatric patient--case report of a patient with congenital cyst adenoid malformation].
abstract: We gave general anesthesia for the lower right lobe resection in an infant with congenital cystic adenomatoid malformation (CCAM). Anesthesia was performed with sevoflurane inhalation, intravenous infusion of remifentanil and intermittent injection of fentanyl. Intraoperative anesthetic course was uneventful except for failure of one lung ventilation. After all surgical procedures, intercostal nerve block under direct vision by surgeon and intravenous infusion of fentanyl were performed for postoperative analgesia. Emergence from anesthesia was prompt, and the tracheal tube could be removed without any troubles. Remifentanil is an effective and safe opioid to use for thoracic surgery even in infants.
authors: Department of Anesthesia, Naha City Hospital, Naha 902-8511.
authors: Hiroyuki
authors: H
authors: Nishi
authors: Sayaka
authors: S
authors: Tokeshi
authors: Hiroshi
authors: H
authors: Iha
authors: Iwao
authors: I
authors: Nakahara
authors: Manabu
authors: M
authors: Kakinohana
authors: Kazuhiro
authors: K
authors: Sugahara
mesh_terms: D000768:Anesthesia, General; D015615:Cystic Adenomatoid Malformation of Lung, Congenital / Q000601:surgery*; D005260:Female; D005283:Fentanyl; D006801:Humans; D007223:Infant; D008738:Methyl Ethers; D010149:Postoperative Pain / Q000517:prevention & control; D010880:Piperidines; D011013:Pneumonectomy; D000077208:Remifentanil; D000077149:Sevoflurane
chemical_list: D008738:Methyl Ethers; D010880:Piperidines; D000077149:Sevoflurane; D000077208:Remifentanil; D005283:Fentanyl