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Anaesthetic management for a left pneumonectomy in a child with bronchopleural fistula
Author(s) -
Vas Lakshmi,
Naregal Falguni,
Nobre Subita,
Dongre Hanspal
Publication year - 2000
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1046/j.1460-9592.2000.00474.x
Subject(s) - medicine , bronchopleural fistula , pneumonectomy , anesthesia , surgery , bevel , intubation , empyema , bronchoscopy , fistula , lung , structural engineering , engineering
Summary The anaesthetic management of a left pneumonectomy in a 18‐month‐old girl with a bronchopleural fistula is described. An ordinary tracheal tube was slit at the bevel to ensure upper lobe ventilation on right endobronchial intubation. A combination of a bronchial blocker, endobronchial intubation with a slit tube, and nerve blocks for these manoeuvres was used. Pain relief by a thoracic epidural block ensured good physiotherapy and a comfortable postoperative period.