Novel Maneuver for Endobronchial Fogarty Embolectomy Catheter Placement for Lung Isolation in Infants: An Experience of Four Cases

Dalim K. Baidya; Dilip K. Pawar; Souvik Maitra; Minu Bajpai; Shasanka Sekhar Panda

doi:10.1055/s-0034-1383429

European Journal of Pediatric Surgery, Table of Contents

Eur J Pediatr Surg 2015; 25(6): 541-543
DOI: 10.1055/s-0034-1383429

Special Report

Georg Thieme Verlag KG Stuttgart · New York

Novel Maneuver for Endobronchial Fogarty Embolectomy Catheter Placement for Lung Isolation in Infants: An Experience of Four Cases

Dalim K. Baidya

¹Department of Anaesthesiology, All India Institute of Medical Sciences, New Delhi, India

,

Dilip K. Pawar

¹Department of Anaesthesiology, All India Institute of Medical Sciences, New Delhi, India

,

Souvik Maitra

¹Department of Anaesthesiology, All India Institute of Medical Sciences, New Delhi, India

,

Minu Bajpai

²Department of Paediatric surgery, All India Institute of Medical Sciences, New Delhi, India

,

Shasanka Sekhar Panda

²Department of Paediatric surgery, All India Institute of Medical Sciences, New Delhi, India

› Author Affiliations

Abstract

One-lung anesthesia in infant is always a challenge to the pediatric anesthesiologist. Thoracoscopic diaphragmatic eventration repair requires high quality of lung isolation for proper surgical access. We are reporting a new technique of lung isolation by Fogarty embolectomy catheter alongside the endotracheal tube in four infants.

Keywords

infant - one-lung ventilation - Fogarty catheter

Full Text

References

References
1 Fabila TS, Menghraj SJ. One lung ventilation strategies for infants and children undergoing video assisted thoracoscopic surgery. Indian J Anaesth 2013; 57 (4) 339-344
2 Wayne ER, Campbell JB, Burrington JD, Davis WS. Eventration of the diaphragm. J Pediatr Surg 1974; 9 (5) 643-651
3 Shah AA, Shah AV, Shah RC, Shah PR. Thoracoscopy in management of empyema thoracis in children. Indian Pediatr 2002; 39 (10) 957-961
4 Asai T, Ikeda S, Shingu K. Insertion of a Fogarty catheter through an endotracheal tube for one-lung ventilation: a new method. Anesthesiology 2000; 93 (3) 909
5 Mohan VK, Darlong VM, Kashyap L, Mishra SK, Gupta K. Fiberoptic-guided Fogarty catheter placement using the same diaphragm of an adapter within the single-lumen tube in children. Anesth Analg 2002; 95 (5) 1241-1242
6 Byon HJ, Lee JW, Kim JK , et al. Anesthetic management of video-assisted thoracoscopic surgery (VATS) in pediatric patients: the issue of safety in infant and younger children. Korean J Anesthesiol 2010; 59 (2) 99-103
7 Snell RS. Clinical Anatomy by Systems (CD ROM). Baltimore, MD: Lippincott Williams Wilkins; 2007: 32
8 Ho AM, Wong JC, Chui PT, Karmakar MK. Case report: Use of two balloon-tipped catheters during thoracoscopic repair of a type C tracheoesophageal fistula in a neonate. Can J Anaesth 2007; 54 (3) 223-226
9 Chengod S, Chandrasekharan AP, Manoj P. Selective left bronchial intubation and left-lung isolation in infants and toddlers: analysis of a new technique. J Cardiothorac Vasc Anesth 2005; 19 (5) 636-641
10 Heaf DP, Helms P, Gordon I, Turner HM. Postural effects on gas exchange in infants. N Engl J Med 1983; 308 (25) 1505-1508
11 Bataineh ZA, Zoeller C, Dingemann C, Osthaus A, Suempelmann R, Ure B. Our experience with single lung ventilation in thoracoscopic paediatric surgery. Eur J Pediatr Surg 2012; 22 (1) 17-20