Abstract
The Different Approaches of Single Lung Ventilation in Infants with Pulmonary Malformation
Highlights
Surgical treatment of infants with congenital lung malformations in the first months of their life is highly recommended because of their tendency towards recurrent respiratory infections and malignancy
One-lung ventilation (OLV) is not mandatory in thoracic endoscopic surgery [4,5], it is important for the success of the procedure, because it provides an optimal exposure of the surgical field; many authors found that a non-optimal exposure of the surgical field is a frequent cause of conversion to open surgery [4,5,6,7]
Video-assisted thoracoscopic surgery (VATS) is a safe alternative to open surgery in infants
Summary
Surgical treatment of infants with congenital lung malformations in the first months of their life is highly recommended because of their tendency towards recurrent respiratory infections and malignancy. Benefits of thoracoscopy are well known: the minimal invasiveness implies decreased length of hospital stay, faster recovery, better cosmetic results, significant reduction of postoperative pain [1,2] This surgical choice led anesthesiologists to change their usual anesthetic technique: a thoracotomy does not always require lung separation and collapse in infants [3]. One-lung ventilation (OLV) is not mandatory in thoracic endoscopic surgery [4,5], it is important for the success of the procedure, because it provides an optimal exposure of the surgical field; many authors found that a non-optimal exposure of the surgical field is a frequent cause of conversion to open surgery [4,5,6,7]. Our aim is to explain the peculiar problems arising in these patients
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