Approach to one lung ventilation during lobectomy for pneumatocele with bronchopleural fistula in a five-year-old child: A case report

  • Sarika Sudhir Lonkar Department of Anesthesiology, Dr. D. Y. Patil Medical College, Hospital & Research Centre, Pimpri, Pune, Maharashtra 411018 (India)
  • Sonal Khatavkar Department of Anesthesiology, Dr. D. Y. Patil Medical College, Hospital & Research Centre, Pimpri, Pune, Maharashtra 411018 (India)
  • Sonali Hastir Department of Anesthesiology, Dr. D. Y. Patil Medical College, Hospital & Research Centre, Pimpri, Pune, Maharashtra 411018 (India)
Keywords: Bronchopleural Fistula, Respiratory Tract Fistula, Airway Management, Positive-Pressure Respiration, One-Lung Ventilation, Analgesia, Analgesia,, Epidural, Pneumonectomy

Abstract

One lung ventilation (OLV) can be a real challenge in the paediatric population, as the margin of errors
is minimum, the time to adapt and make decisions lessens, and stress levels increase. The anesthetic
management of a 5 year old girl with pneumatocele and bronchopleural fistula posted for thoracotomy
is described. Right sided endobronchial intubation with uncuffed PVC endotracheal tube (ETT) was
used for OLV. Thoracic epidural was given for perioperative analgesia and to facilitate postoperative
physiotherapy.

Published
01-27-2019
How to Cite
Lonkar, S. S., Khatavkar, S., & Hastir, S. (2019). Approach to one lung ventilation during lobectomy for pneumatocele with bronchopleural fistula in a five-year-old child: A case report. Anaesthesia, Pain & Intensive Care, 412-415. Retrieved from https://apicareonline.com/index.php/APIC/article/view/343
Section
Case Reports