Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-6bf8c574d5-mggfc Total loading time: 0 Render date: 2025-02-26T00:24:12.343Z Has data issue: false hasContentIssue false

Chapter 30 - Anaesthesia for Thoracic Surgery in Children

Published online by Cambridge University Press:  06 February 2025

By
Valentine Woodham  and
James Ip
Edited by
James Ip ,
Grant Stuart ,
Isabeau Walker  and
Ian James
James Ip
Affiliation:
Great Ormond Street Hospital for Children, London
Grant Stuart
Affiliation:
Great Ormond Street Hospital for Children, London
Isabeau Walker
Affiliation:
Great Ormond Street Hospital for Children, London
Ian James
Affiliation:
Great Ormond Street Hospital for Children, London
Get access

Summary

Anaesthesia for thoracic surgery in children poses a variety of challenges for the paediatric anaesthetist, who will encounter problems different from those faced in adult practice. It is a low-volume surgical speciality, thus predominantly confined to specialist paediatric centres with anaesthesia required for a heterogenous range of conditions. One-lung ventilation may often be required, and knowledge of the techniques used for the varying size of the paediatric airway is essential. The impact of patient positioning, surgical retraction of the lung and the underlying disease process poses further challenges to the paediatric anaesthetist. This chapter covers management of the most common paediatric specific disease processes, including congenital and acquired lung abnormalities, intrathoracic masses, intrapleural collections and pectus surgery with an emphasis on lung isolation techniques and perioperative analgesia, including regional anaesthesia.

Keywords

Thoracicthoracoscopythoracotomycongenital lobar emphysemacongenital cystic adenomatous malformationanterior mediastinal massempyemapectus excavatumone-lung ventilation
Type
Chapter
Information
Core Topics in Paediatric Anaesthesia , pp. 331 - 342
Publisher: Cambridge University Press
Print publication year: 2025

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Further Reading

Hammer, G. Single-lung ventilation in infants and children. Paediatric Anaesthesia 2004; 14:98–102.CrossRefGoogle ScholarPubMed
Letal, M, Theam, M. Paediatric lung isolation. BJA Education. 2017 February; 17(2):57–62.CrossRefGoogle Scholar
Semmelmann, A, Kaltofen, H, Loop, T. Anesthesia of thoracic surgery in children. Paediatric Anaesthesia 2018 April; 28(4):326–31.CrossRefGoogle ScholarPubMed
Templeton, TW, Piccioni, F, Chatterjee, D. An update on one-lung ventilation in children. Anesthesia and Analgesia 2021 May 1; 132(5):1389–99.CrossRefGoogle ScholarPubMed
Wilmott, RW, Bush, A, Deterding, R et al. Kendig’s Disorders of the Respiratory Tract in Children, 9th ed. Elsevier. 2019.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×