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Anaesthetic management of a neonate with congenital cyst adenoid malformation.
| Content Provider | Semantic Scholar |
|---|---|
| Author | Guruswamy, V. Roberts, Stephen Andrew Arnold, Pam Potter, Frank Fraser |
| Copyright Year | 2005 |
| Abstract | We report the anaesthetic management of a male neonate with congenital cyst adenoid malformation (CCAM) of the lung who underwent thoracotomy for resection of CCAM 24 h after birth and again at 24 days. The initial operation involved a 10-day admission to a paediatric intensive care unit (PICU) requiring ventilation, and was complicated by a pneumothorax. This report concentrates on the anaesthetic management for the second thoracotomy. The combination of intra-operative remifentanil infusion and the use of ultrasound to confirm correct placement of epidural catheter allowed on-table tracheal extubation and a shorter stay in PICU. The use of one-lung ventilation (OLV) allowed for better surgical access and enabled complete resection of the lesion. |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | https://watermark.silverchair.com/aei171.pdf?token=AQECAHi208BE49Ooan9kkhW_Ercy7Dm3ZL_9Cf3qfKAc485ysgAAAZswggGXBgkqhkiG9w0BBwagggGIMIIBhAIBADCCAX0GCSqGSIb3DQEHATAeBglghkgBZQMEAS4wEQQM286UMV0LP6bWqDQEAgEQgIIBTl1K_mEEgUbVu-djU_ffS_L0NwwFQ1oUJ2PXBjMGqpVTQehnFpzitCI2G8B36y6G7OxHjeOKNIm18V-mRn5I9conofdqC48XLR9W-ZfpMYdSqTJ9-7MoOK7pZ3fqz-mU2_V7hVQ-1mPapgccTG4jfa6S9uEa3FFxZtKuM58lYbw7buQWSQELEMODPndNDn535yMcMpLIbrR3WBZClmWqD_KauHlIc3VB6FCWWd7U7ibHVABmVcT6FVSyTdkR4LUOg9v39DnjnTHt5DuyC07SdHUHVvzWFkgei_p_XczFCWCUUhRRWfoQ8uRz9VOtc2ktcsRvjIvpgOVCZAZiapjJJBa5MtZA0JOIOnJ76phVFMY9B09t4-74vPoNCrbts7wXfWsEsoYCu3zX9tGH1j4wc_o-KFmYzWrTxY9AIbow_jJsjDgnNL5lgGv4UfYJCBA |
| PubMed reference number | 15964890v1 |
| Volume Number | 95 |
| Issue Number | 2 |
| Journal | British journal of anaesthesia |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | Adenoidal structure Choledochal Cyst Congenital Abnormality Cystic Adenomatoid Malformation of Lung, Congenital Excision Infant, Newborn One-Lung Ventilation Pneumothorax Respiration Structure of parenchyma of lung Thoracotomy Tracheal Extubation intensive care unit |
| Content Type | Text |
| Resource Type | Article |
