Anesthetic management of video-assisted thoracoscopic surgery (VATS) in pediatric patients : the issue of safety in infant and younger children
BACKGROUND: The purpose of this study was to assess the safety issues concerning anesthetic management of video-assisted thoracoscopic surgery (VATS) in pediatric patients.
METHODS: The medical records of 52 pediatric patients undergoing VATS using general anesthesia and one-lung ventilation (OLV) were reviewed. OLV was achieved with a Fogarty catheter (n = 23) or endobronchial intubation (n = 7) in patients < 10 years of age (group Y, n = 30), and using a double-lumen tube (n = 19) or a univent (n = 3) in children aged between 10 and 16 years of age (group O, n = 22). Hypoxemia, hypercarbia, the difference between E(T)CO(2) and PaCO(2), and the effect of CO(2) insufflation were assessed.
RESULTS: A decrease in SpO(2) less than 90% was observed in 40% of the group Y, compared to none of the group O (P < 0.05). A hypercarbia (E(T)CO(2) > 50 mmHg) was observed more frequently in group Y (40%) than in group O (0%; P < 0.05). The difference between the E(T)CO(2) and PaCO(2) was 10.4 +/- 8.9 mmHg in group Y and 4.6 +/- 3.9 mmHg in group O (P < 0.05). Hypercarbia and acidosis occurred more frequently in patients with CO(2) insufflation than those without insufflation in group Y.
CONCLUSIONS: Although the anesthesia for VATS in pediatric patients was successfully accomplished, the infants and younger children presented with more intra-operative problems when compared with older children. The anesthetic management for VATS in infants and younger children requires careful and vigilant monitoring.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2010 |
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| Erschienen: |
2010 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:59 |
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| Enthalten in: |
Korean journal of anesthesiology - 59(2010), 2 vom: 21. Aug., Seite 99-103 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Byon, Hyo-Jin [VerfasserIn] |
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| Links: |
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| Themen: |
Children |
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| Anmerkungen: |
Date Completed 14.07.2011 Date Revised 08.04.2022 published: Print-Electronic Citation Status PubMed-not-MEDLINE |
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| doi: |
10.4097/kjae.2010.59.2.99 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM200597833 |
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| 100 | 1 | |a Byon, Hyo-Jin |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Anesthetic management of video-assisted thoracoscopic surgery (VATS) in pediatric patients |b the issue of safety in infant and younger children |
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| 500 | |a Date Revised 08.04.2022 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status PubMed-not-MEDLINE | ||
| 520 | |a BACKGROUND: The purpose of this study was to assess the safety issues concerning anesthetic management of video-assisted thoracoscopic surgery (VATS) in pediatric patients | ||
| 520 | |a METHODS: The medical records of 52 pediatric patients undergoing VATS using general anesthesia and one-lung ventilation (OLV) were reviewed. OLV was achieved with a Fogarty catheter (n = 23) or endobronchial intubation (n = 7) in patients < 10 years of age (group Y, n = 30), and using a double-lumen tube (n = 19) or a univent (n = 3) in children aged between 10 and 16 years of age (group O, n = 22). Hypoxemia, hypercarbia, the difference between E(T)CO(2) and PaCO(2), and the effect of CO(2) insufflation were assessed | ||
| 520 | |a RESULTS: A decrease in SpO(2) less than 90% was observed in 40% of the group Y, compared to none of the group O (P < 0.05). A hypercarbia (E(T)CO(2) > 50 mmHg) was observed more frequently in group Y (40%) than in group O (0%; P < 0.05). The difference between the E(T)CO(2) and PaCO(2) was 10.4 +/- 8.9 mmHg in group Y and 4.6 +/- 3.9 mmHg in group O (P < 0.05). Hypercarbia and acidosis occurred more frequently in patients with CO(2) insufflation than those without insufflation in group Y | ||
| 520 | |a CONCLUSIONS: Although the anesthesia for VATS in pediatric patients was successfully accomplished, the infants and younger children presented with more intra-operative problems when compared with older children. The anesthetic management for VATS in infants and younger children requires careful and vigilant monitoring | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Children | |
| 650 | 4 | |a One lung ventilation | |
| 650 | 4 | |a Video-assisted thoracoscopic surgery | |
| 700 | 1 | |a Lee, Ji-Won |e verfasserin |4 aut | |
| 700 | 1 | |a Kim, Jong-Kuk |e verfasserin |4 aut | |
| 700 | 1 | |a Kim, Jin-Tae |e verfasserin |4 aut | |
| 700 | 1 | |a Kim, Young Tae |e verfasserin |4 aut | |
| 700 | 1 | |a Kim, Hee-Soo |e verfasserin |4 aut | |
| 700 | 1 | |a Lee, Sang Chul |e verfasserin |4 aut | |
| 700 | 1 | |a Kim, Chong Sung |e verfasserin |4 aut | |
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