JOURNAL HOME CME HOME THIS MONTH PAST ISSUES ETOC COLLECTIONS
AUTHORS REVIEWERS EDITORIAL BOARD FEEDBACK RSS HELP
A&A International Anesthesia Research Society
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a colleague
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via ISI Web of Science (2)
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Mariano, E. R.
Right arrow Articles by Ramamoorthy, C.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Mariano, E. R.
Right arrow Articles by Ramamoorthy, C.
Related Collections
Right arrow Heart
Right arrow Monitoring (Cardiac)
Right arrow Pediatrics

Anesth Analg 2005;101:1000-1002
© 2005 International Anesthesia Research Society
doi: 10.1213/01.ANE.0000175778.96374.4F

PEDIATRIC ANESTHESIA

Successful Thoracoscopic Repair of Esophageal Atresia with Tracheoesophageal Fistula in a Newborn with Single Ventricle Physiology

Edward R. Mariano, MD*, Larry F. Chu, MD, MS{dagger}, Craig T. Albanese, MD{ddagger}, and Chandra Ramamoorthy, MBBS§

*Department of Anesthesia, University of California at San Diego School of Medicine, San Diego, California; {dagger}Department of Anesthesia, {ddagger}Department of Surgery, Division of Pediatric Surgery, §Department of Anesthesia, Division of Pediatric Anesthesia, Stanford University School of Medicine, Stanford, California

Address correspondence and reprint requests to Edward R. Mariano, MD, Department of Anesthesia, University of California at San Diego Medical Center, 200 West Arbor Drive, San Diego, CA 92103–8770. Address e-mail to ermariano{at}ucsd.edu.

A neonate with VACTERL association including tricuspid atresia was scheduled for thoracoscopic esophageal atresia with tracheoesophageal fistula (EA/TEF) repair and laparoscopic gastrostomy tube placement. In addition to standard noninvasive monitoring, arterial blood pressure, central venous pressure, and cerebral oxygen saturation were monitored. Gastric distension resulting from positive pressure ventilation prevented laparoscopic gastrostomy tube placement. Thoracoscopy with a CO2 insufflation pressure of 6 mm Hg at low flow (1 L/min) was well tolerated hemodynamically despite hypercarbia and cerebral oxygen saturation was maintained. Careful monitoring and good communication were critical to the safe management of this single ventricle patient during thoracoscopic EA/TEF repair.






Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2005 by the International Anesthesia Research Society.