Anesthesia for Pediatric Thoracic Surgery

摘要: Pediatric patients present in varying stages of development, from the premature neonate to full-grown teenager. Appreciation unique physiologic states associated with different development will direct anesthetic management. Preoperative evaluation small child should include neonatal history as this may indicate comorbid pulmonary and cardiac disease linked syndromes which must be investigated. Lung isolation is not always necessary pediatric thoracic surgery. Appropriate lung techniques depend on age size patient there no single technique that suitable for all patients. Physiologic manifestation one-lung ventilation more pronounced children than adults. The compliant rib cage, compressible parenchyma, reduced FRC under anesthesia higher oxygen consumption contribute aggravate hypoxemia during isolation. Adult surgery often related tumor excision whereas encompasses a greater variety pathology. Each specific state has its own particular considerations management ­strategy. Pain population evolved use regional neuraxial techniques, even smallest infants. Postoperative disposition type length surgery, extent resection or manipulation, nature underlying condition. Many require postoperative close cardiorespiratory monitoring following procedure.