Page 33 - CASA Bulletin of Anesthesiology 2022; 9(2) (5)

Vol. 9, No 2, 2022

Anesthetic considerations in pediatric thoracoscopic procedures

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2
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Hua Liu , Lin Chen , Ling Yu , Henry Liu
1 Department of Anesthesiology
Hubei Women and Children’s Hospital
745 Wuluo road
Hongshan district
Wuhan City, Hubei 430070, China
2 Department of Anesthesiology and Critical Care
Perelman School of Medicine
University of Pennsylvania
3401 Spruce Street
Philadelphia, PA 19104, USA

Corresponence to:
Lin Chen, MD, PhD Dr. Henry Liu
Department of Anesthesiology
Hubei Women and Children’s Hospital
745 Wuluo road
Hongshan district
Wuhan City, Hubei 430070
China
Email: samchen123456@qq.com

Abstract
Dr. Lin Chen
Advances in thoracoscopic equipment and surgical
techniques made possible thoracoscopic repair of some
congenital abnormalities such as congenital esophageal
atresia/tracheoesophageal fistula and congenital diaphragmatic
hernia. It is very challenging for pediatric anesthesiologists to
manage these patients going through the surgical procedures
perioperatively. Preoperatively, thorough preparation including
fasting, gastrointestinal decompression, maintaining
normothermia, infection prevention/management, oxygen
supplementation, assisted ventilation if needed, hemodynamic
optimization, and application of pulmonary surfactant if
indicated. Intraoperatively, adoption of “Low-pressure slow insufflation technique”,
management of hypoxemia, hypercarbia, hypothermia and potential pulmonary hypertension.

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