title: Challenges in Anaesthetic management of a child for thoracoscopic assisted oesophageal replacement.
abstract: The loss of oesophageal length or obliteration of oesophageal lumen due to stricture acquired by accidental caustic ingestion is more common in children that may require major operative reconstruction. A number of procedures have been developed for anatomic replacement of oesophagus of which thoracoscopic assisted gastric transposition has shown the best outcome in children. This demands an extensive pre-operative evaluation, preparation and anaesthetic management since this is challenging and prolonged procedure done under one lung ventilation (OLV). Though it is a minimally invasive procedure, providing OLV and management of complications associated with it are the anaesthetic challenges among these children. We report anaesthetic management of an 8-year-old boy with oesophageal stricture following corrosive injury posted for thoracoscopic assisted gastric transposition.
authors.affiliation: Department of Paediatric Anaesthesia, Indira Gandhi Institute of Child Health, Bengaluru, Karnataka, India.
authors.forename: K R
authors.initials: KR
authors.lastname: Chandrakala
authors.affiliation: Department of Paediatric Anaesthesia, Indira Gandhi Institute of Child Health, Bengaluru, Karnataka, India.
authors.forename: Bindu
authors.initials: B
authors.lastname: Nagaraj
authors.affiliation: Department of Paediatric Anaesthesia, Indira Gandhi Institute of Child Health, Bengaluru, Karnataka, India.
authors.forename: D V
authors.initials: DV
authors.lastname: Bhagya
authors.affiliation: Department of Paediatric Anaesthesia, Indira Gandhi Institute of Child Health, Bengaluru, Karnataka, India.
authors.forename: Y R
authors.initials: YR
authors.lastname: Chandrika
keywords: Anesthesia; oesophageal replacement; pediatric thoracoscopy; video-assisted thoracoscopic surgery