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Review
. 2024 Feb 5;32(Suppl1):S1-S9.
doi: 10.5606/tgkdc.dergisi.2024.25708. eCollection 2024 Jan.

Preoperative preparation and postoperative care in children in thoracic surgery

Levent Öztürk  1 , Hülya Yiğit  1
Affiliations
Review

Preoperative preparation and postoperative care in children in thoracic surgery

Levent Öztürk et al. Turk Gogus Kalp Damar Cerrahisi Derg. .

Abstract

Anesthesia for pediatric patients undergoing thoracic surgery continues to be distinctive due to differing anatomical and physiological characteristics compared to adults. Adequate preoperative preparation, appropriate tool selection for providing one-lung ventilation, perioperative pain management, and a multidisciplinary approach can ensure higher quality postoperative care. In this review, the perioperative anesthesia management for pediatric patients undergoing thoracic surgery will be discussed, starting from the preoperative preparation phase. Additionally, the issues related to the application and management of one-lung ventilation will also be assessed.

Keywords: One-lung ventilation; pain; pediatric anesthesia; postoperative care; thoracic surgery..

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Conflict of interest statement

Conflict of Interest: The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.

Figures

Figure 1
Figure 1. Uniblocker (Fuji Systems Corporation, Tokyo, Japan) and Coopdech (Daiken Medical Corporation, Osaka, Japan) are free-standing bronchial blockers with fixed bevels at their lower ends for easy insertion. The multi-way adapter has ports through which FB and BB can pass, and where ventilation continues by connecting to the breathing circuit while the BB is placed. FB: Fiberoptic bronchoscopy; BB: Bronchial blocker.
Figure 2
Figure 2. Fogarty embolectomy catheter for use as a bronchial blocker during one-lung ventilation. These catheters have an inflatable, high-pressure balloon at the tip that can be placed into and occlude the bronchus of the operative lung. They are available in a variety of sizes for use in a wide range of patient ages.
Figure 3
Figure 3. Standard DLT for one‑lung ventilation. Adaptor for a DLT. The adaptor has a standard 15-mm connector(1), and two ports(2) for passage of a fiberoptic bronchoscope or a suction catheter. The short segment(2) of the tubing can be clamped during one-lung ventilation, and the port is opened to allow the lung to deflate. DLT: Double-lumen tube.
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