A New Perspective for Implementing One Lung Ventilation Using Endobronchial Intubation in a Child
DOI:
https://doi.org/10.25751/rspa.39891Keywords:
Echinococcosis, Pulmonary, Anesthesia; Child, One-Lung VentilationAbstract
Hydatidosis caused by Echinococcus granulosus most commonly affects the lung, followed by the liver. Surgical treatment, consisting of excision of the cyst, requires anesthesia with one lung ventilation and an accompanying cysto-bronchial fistula poses an additional challenge of preventing contamination of the preserved lung during surgical manipulation. There are limited options for isolating a lung in children, especially those below 8 years of age, due to the unavailability of double-lumen tubes for this age group. One lung ventilation with an endobronchial cuffed tube, along with a coaxial suction catheter placed in the trachea, helps in preventing cross-contamination of the preserved lung. This case report demonstrates how this technique can be applied successfully in an 8-year-old child with a communicating hydatid cyst posted for emergency thoracotomy.
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Alexiou K, Mitsos S, Fotopoulos A, Karanikas I, Karanikas I, Tavernaraki K, Konstantinidis F, et al. Complications of hydatid cysts of the liver: spiral computed tomography findings. Gastroenterology Res. 2012;5:139-43. doi: 10.4021/gr460e
Bajwa SJ, Panda A, Bajwa SK, Kaur J, Singh A. Anesthetic challenges in the simultaneous management of pulmonary and hepatic hydatid cyst. Anesth Essays Res. 2011;5:105-8. doi: 10.4103/0259-1162.84189
Baraka A, Slim M, Dajani A, Lakkis S. One-lung ventilation of children during surgical excision of hydatid cysts of the lung. Br J Anaesth. 1982;54:523-8. doi:10.1093/bja/54.5.523
Letal M, Theam M. Paediatric lung isolation. BJA Educ. 2016;17:57-62. doi:10.1093/bjaed/mkw047
Jha L, Naaz S, Paul G, Kumar S. Curious Case of Pediatric One-Lung Ventilation with Two Endotracheal Tubes: A Case Report. Ann Card Anaesth. 2024;27:65-67. doi: 10.4103/aca.aca_67_23
Wani TM, Simion C, Rehman S, John J, John J, Guruswamy V, Bissonnette B, et al. Mainstem Bronchial Diameters and Dimensions in Infants and Children: A Systematic Review of the Literature. J Cardiothorac Vasc Anesth. 2021;35:3078-84. doi:10.1053/j.jvca.2020.07.002
Naina P, Syed KA, Irodi A, John M, Varghese A. Pediatric tracheal dimensions on computed tomography and its correlation with tracheostomy tube sizes. Laryngoscope. 2020;130:1316-21. doi:10.1002/lary.28141
Paquet C, Karsli C. Technique of lung isolation for whole lung lavage in a child with pulmonary alveolar proteinosis. Anesthesiology. 2009;110:190-2. doi:10.1097/ALN.0b013e318190bda2
Campos JH, Peacher D. Application of Continuous Positive Airway Pressure During Video-Assisted Thoracoscopic Surgery. Curr Anesthesiol Rep. 2021;11:446-56. doi:10.1007/s40140-021-00479-w
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Copyright (c) 2025 Garima Agrawal, Vignesh A S, Raksha Kundal, Shubhangi Sudan
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