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PEDIATRIC ANESTHESIA

Single-Lung Ventilation for Pulmonary Lobe Resection in a Newborn

Christoph Schmidt, MD^*, Georg Rellensmann, MD, Hugo Van Aken, MD, PhD, FRCA, FANZCA^*, Michael Semik, MD, PhD, Thomas Bruessel, MD, PhD, FANZCA, and Dietmar Enk, MD^||

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

Address correspondence and reprint requests to Christoph Schmidt, MD, Klinik und Poliklinik für Anästhesiologie und operative Intensivmedizin, Universitätsklinikum Münster, Albert-Schweitzer-Strasse 33, D-48149 Münster, Germany. Address e-mail to schmch{at}uni-muenster.de.

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.

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				J.-C. Bouchut and O. Claris Ventilation Management During Neonatal Thoracic Surgery Anesth. Analg., January 1, 2007; 104(1): 218 - 218. [Full Text] [PDF]

				D. Enk, G. Rellensmann, T. Brussel, H. Van Aken, M. Semik, and C. Schmidt Ventilation Management During Neonatal Thoracic Surgery Anesth. Analg., January 1, 2007; 104(1): 218 - 219. [Full Text] [PDF]