Anesthetic management of infant lung resection of congenital cystic adenomatoid malformation by video-assisted thoracicscopy
10.3969/j.issn.1006-5725.2015.05.030
- VernacularTitle:胸腔镜辅助下婴儿先天性肺囊腺瘤肺切除术的麻醉管理
- Author:
Jing LIU
;
Xinfang LIAO
;
Haiyang LI
;
Na ZHENG
;
Ruijian FU
;
Weijian HUANG
;
Zurong HU
- Publication Type:Journal Article
- Keywords:
Congenital Cystic Adenomatoid Malformation;
Video-assisted Thoracicscopy;
One-lung Ventilation;
Infant;
Anesthesia
- From:
The Journal of Practical Medicine
2015;(5):785-787
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the feasibility and safety of OLV anesthesia about infant lung resection of CCAM by video-assisted thoracicscopy. Methods Endo-tracheal intubation was performed after 43 CCAM infants had undergone rapid intravenous induction. One side of lungs was ventilated by injecting 4 ~ 6 mmHg CO2 for the construction of artificial pneumothorax, and the side lung was compressed forming OLV. SpO2, ECG, MAP, PETCO2, T, PaO2, PaCO2, bleeding volume and urine volume were monitored. The numerical value of SpO2, PaO2, HR, MAP, PETCO2, and PaCO2 were recorded at scheduled intervals. Results Compared with 5min after induction,the PaO2,HR and MAP of the infants significantly reduced; the PETCO2 and PaCO2 significantly increased at OLV at 10 min and 60 min. Compared with OLV at 10 min, the PaO2, PETCO2 significantly increased at OLV 60 min. Conclusion Appropriate respiratory management and drug usage are feasible and safe for infant surgery of CCAM by video-assisted thoracicscopy.
