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Anesth Analg 2001;93:96-97
© 2001 International Anesthesia Research Society

PEDIATRIC ANESTHESIA

The Successful Management of Thoracoscopic Thoracic Duct Ligation in a Compromised Infant with Targeted Lobar Deflation

Masahiko Takahashi, MD*, Yoshimochi Kurokawa, MD{dagger}, Hiroaki Toyama, MD*, Ryuichi Hasegawa, MD*, and Yasuhiko Hashimoto, MD*

*Departments of Anesthesiology and Emergency Medicine and {dagger}Surgery, Tohoku University Postgraduate Medical School, Sendai, Japan

Address correspondence and reprint requests to Masahiko Takahashi, MD, Assistant Professor, Department of Anesthesiology and Emergency Medicine, Tohoku University Postgraduate Medical School, 1-1 Seiryo, Aoba-ku, Sendai 980-8574, Japan. Address e-mail to m-takaha{at}mail.cc.tohoku.ac.jp

Implications: We describe the successful management of thoracoscopic thoracic duct ligation in a 2.5-kg compromised infant by using selective lobar-bronchial blockade. The technique reduces the risk of intraprocedural physiologic impairment, allowing the benefits of otherwise minimally invasive thoracoscopic procedures, even when the conditions of children are severely compromised.




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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 © 2001 by the International Anesthesia Research Society.