title: Anesthetic management of staged thoracoscopic repair of bilateral eventration of diaphragm in a neonate.
abstract: Congenital eventration of the diaphragm is a rare disorder, the perioperative management of which is challenging. The introduction of thoracoscopic repair of these defects has considerably reduced the perioperative morbidity and mortality in these patients. In spite of the advantages of thoracoscopy which include smaller chest incisions, reduced postoperative pain, and more rapid postoperative recovery compared with thoracotomy, it is still inherent with complications unique to it. A clear understanding of the pathophysiologic changes, potential complications and institution of appropriate monitoring and good planning is essential for the safe conduct of thoracoscopic procedures in neonates. We describe the anesthetic management of staged thoracoscopic repair of bilateral congenital eventration of the diaphragm in a neonate.
authors.affiliation: Department of Anesthesiology and Pediatric Surgery, Sri Gokulam Hospital, Salem, Tamil Nadu, India.
authors.forename: Subramanian Hari
authors.initials: SH
authors.lastname: Rao
authors.affiliation: Department of Anesthesiology and Pediatric Surgery, Sri Gokulam Hospital, Salem, Tamil Nadu, India.
authors.forename: Saravanan
authors.initials: S
authors.lastname: Natarajan
authors.affiliation: Department of Conservative and Endodontics, KSR Institute of Dental Sciences and Research, Tiruchengode, Tamil Nadu, India.
authors.forename: Vyapaka
authors.initials: V
authors.lastname: Pallavi
keywords: Anesthetic management; congenital eventration of diaphragm; neonate; thoracoscopy