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PEDIATRIC ANESTHESIA

Separate-Lung Ventilation Strategy for Reimplantation of Esophageal Bronchus

Clarisse Peuch, MD^*, Serge Malbezin, MD^*, Carole Saizou, MD, Vincent Couloigner, MD, Monique Elmaleh, MD, Yves Nivoche, MD^*, Pascal de Lagausie, MD^||, and Vincent Laudenbach, MDPhD^*

Departments of *Anesthesiology, Pediatric Intensive Care, ENT Surgery, Radiology, and ||Pediatric Surgery, Hôpital Robert Debré, Paris, France

Address correspondence and reprint requests to Vincent Laudenbach, MD, Départment d’Anesthésie-Réanimation Chirurgicale, Hôpital Robert Debré, Assistance Publique-Hôpitaux de Paris, 48 Blvd. Sérurier, 75019, Paris, France. Address e-mail to vlaudenb{at}infobiogen.fr

IMPLICATIONS: We describe an original ventilation method designed to optimize lung recruitment and gas exchanges during surgery in a newborn with congenital esophageal atresia and ectopic esophageal implantation of the left mainstem bronchus. This strategy ensured constant adaptation of the mechanical ventilatory regimen to the surgical procedure-linked constraints.