Severe desaturation while attempting one-lung ventilation for congenital cystic adenomatoid malformation with respiratory distress syndrome in neonate -A case report-

다국어 초록 (Multilingual Abstract)

There are many methods for achieving one-lung ventilation (OLV) during thoracic surgery in neonates and the accuracy of OLV may affect postoperative outcome. The authors have performed OLV using a 5 Fr Arndt endobronchial blocker (AEB, Cook Inc., Bloomington, IN, USA) on a neonate diagnosed with congenital cystic adenomatoid malformation and respiratory distress syndrome (RDS) associated with marked mediastinal shift. In spite of sufficient preoxygenation, sudden and severe fall in oxygen saturation had occurred. Since neonates with RDS may develop sudden and severe desaturation, rapid intubation with anticipation of potential difficulty is necessary as well as sufficient preoxygenation.

참고문헌 (Reference)

1 Kumagai K, "Unilateral pulmonary cystic enlargement in a newborn: remember the onesided blind intubation" 10 : 111-113, 2000

2 Rothenberg SS, "Thoracoscopic pulmonary surgery" 16 : 231-237, 2007

3 Hammer GB, "The Univent tube for single-lung ventilation in paediatric patients" 8 : 55-57, 1998

4 Hammer GB, "Single lung ventilation in children using a new paediatric bronchial blocker" 12 : 69-72, 2002

5 Stephenson LL, "Routine extraluminal use of the 5F Arndt Endobronchial Blocker for one-lung ventilation in children up to 24 months of age" 25 : 683-686, 2011

6 Altman PL, "Respiratory and circulation" Federation of American Society for Experimental Biology 105-108, 1971

7 Hammer GB, "Pediatric thoracic anesthesia" 20 : 153-180, 2002

8 Pawar DK, "One lung ventilation in infants and children: experience with Marraro double lumen tube" 15 : 204-208, 2005

9 Hammer GB, "Methods for single-lung ventilation in pediatric patients" 89 : 1426-1429, 1999

10 Wald SH, "Experience with the Arndt paediatric bronchial blocker" 94 : 92-94, 2005

11 Hugh D, "Anesthetic management of a neonate with a congenital cystic adenomatoid malformation and respiratory distress associated with gross mediastinal shift" 19 : 272-274, 2009

12 Guruswamy V, "Anaesthetic management of a neonate with congenital cyst adenoid malformation" 95 : 240-242, 2005

13 Sands SA, "A model analysis of arterial oxygen desaturation during apnea in preterm infants" 5 : e1000588-, 2009