Postoperative mechanical ventilation after complex congenital cardiac surgery is still routine practice. Published reports on immediate extubation (in the operating room or

Human ; Male ; Female ; Child Preschool ; Infant ; Airway Extubation ; Operating Rooms ; Respiration, Artificial ; Intensive Care Units ; Postoperative Period ; Cardiac Surgical Procedures ; Anesthetics

This case is about a 35-week neonate diagnosed with harlequin ichthyosis. The neonate was managed by a multidisciplinary team composed of specialists from neonatology, genetics, dermatology, plastic surgery, ophthalmology, rehabilitation medicine, and anesthesiology.Harlequin ichthyosis is characterized by defective keratinization and desquamation of the epidermis which is very painful. Pain management in the neonate entails a proper balance between pain relief and avoidance of serious adverse effects which is a major challenge for caregivers.

Human ; Male ; Ichthyosis, Lamellar ; Surgery, Plastic ; Neonatology ; Pain Management ; Specialization ; Caregivers ; Epidermis ; Skin Abnormalities ; Reconstructive Surgical Procedures ; Patient Care Team ; Pain ; Infant, Newborn ; Pain Management--nursing

Congenital cystic adenomatoid malformation (CCAM) is a rare developmental entity. Symptomatic patients must undergo thoracic surgery for lobectomy. Perioperative anesthetic management is challenging because it involves
thoracotomy in a young patient that may lead to hemodynamic compromise and inadequate ventilation. We present 3 cases of pediatric patients (6 months - 2 years old) with CCAM who underwent lobectomy.

Cystic Adenomatoid Malformation of Lung, Congenital ; Airway Extubation