Case Report on a 3-year-old Child Who Underwent Video Assisted Thoracoscopy Surgery (VATS) Bullectomy with One Lung Ventilation (OLV) technique
DOI:
https://doi.org/10.46799/ajesh.v3i6.330Keywords:
Bullectomy, Fogarty catheter, One-Lung Ventilation, VATSAbstract
One-lung ventilation (OLV) is a crucial technique used in thoracic surgery, such as lobectomy or pneumonectomy, to isolate one lung and provide optimal surgical exposure while maintaining ventilation. Contrary to the misconception that OLV using Fogarty catheters is not applied in children, this technique is widely used in pediatric anesthesia, particularly during thoracic surgeries. A three-year-old child weighing 15.3 kg presented with a one-week history of coughing and a one-day history of shortness of breath at Prof. Dr. I.G.N.G. Ngoerah General Hospital, Denpasar. A chest tube was installed to alleviate tightness, and a thoracic CT scan revealed multiple cavities with consolidation in both inferior lung lobes. The surgeons opted for a bullectomy using the Video-Assisted Thoracoscopic Surgery (VATS) technique. In this case, OLV was achieved using a single-lumen endotracheal tube (ETT) and a Fogarty embolectomy catheter as a bronchial blocker (BB) to replace the fiberoptic bronchoscope (FOB) device. The ballooning-based BB method proved to be an effective alternative for lung isolation. This case demonstrates that using Fogarty catheters for OLV in pediatric thoracic surgery is feasible and effective, highlighting the importance of understanding pediatric and thoracic anesthesia principles to ensure safe and efficient anesthesia care during these procedures, while also addressing the specific dangers and challenges during the perioperative phase.
Published
Issue
Section
License
Copyright (c) 2024 I Putu Kurniyanta, I Made Pasek Budiadnyana, Tjokorda Gde Agung Senapathi, Kadek Agus Heryana Putra, Otniel Adrians Labobar, I Wayan Sudarma
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution-ShareAlike 4.0 International. that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.