Abstract
Video-assisted thoracoscopic surgery (VATS) is less invasive approach for thoracoscopic surgery. It is used to diagnose and treat various conditions in the chest. It renders less postoperative pain, fewer operative complications, and shortened hospital stay which makes it favorable for pediatric patients. VATS can be used for different purposes, ranging from a biopsy to removal of tumors or entire lobes from the lung. A thorough knowledge of the associated pathophysiological changes, appropriate monitoring and good planning allows the safe provision of anesthesia for these procedures and this is based on the expertise in the fields of both pediatric and thoracic anesthesia. Unrecognized congenital heart defect, airway compromise with an abnormal airway or extrinsic tracheal compression which may place the patient at an increased risk during anaesthesia. And this article focuses on VATS surgery done on a pediatric patient for excision of anterior mediastinal mass & the various strategies adopted by us to optimize oxygenation during one-lung anesthesia.
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