Document Detail


Differential lung ventilation in an infant using LMA and a long tracheal tube.
MedLine Citation:
PMID:  12791119     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This is a case report of differential lung ventilation in an infant using a conventional laryngeal mask airway (LMATM) and a commercially available longer paediatric tracheal tube. This 2-month-old infant had her left-sided congenital diaphragmatic hernia repaired on the sixth day of her life, and had been mechanically ventilated. The right middle lobe became grossly emphysematous and herniated into the left side of the chest, and the right lower lobe became totally atelectatic. A right middle lobe lobectomy was planned. To avoid hyperinflating the right middle lobe, and to expand the right lower lobe without providing a high airway pressure on the left lung, the dependent lung (i.e. left lung) was ventilated with an LMA, and the right lower lobe was expanded with a long tracheal tube inserted through the LMA via the swivel connector. This combination of a conventional LMA and a commercially available longer paediatric tracheal tube could be another way of providing differential ventilation in infants.
Authors:
Toshimi Arai; Masao Yamashita
Related Documents :
23056929 - Is the macronutrient intake of formula-fed infants greater than breast-fed infants in e...
16506119 - Endotracheal tube position in neonates requiring emergency interhospital transfer.
11268869 - One-sided high-frequency oscillatory ventilation in the management of an acquired neona...
3709399 - Fighting the ventilator--are fast rates an effective alternative to paralysis?
25266439 - Anti-tnf-α therapy may cause neonatal neutropenia.
9545359 - A multicenter trial of two dexamethasone regimens in ventilator-dependent premature inf...
19122769 - Contributions of the mother-infant relationship to dissociative, borderline, and conduc...
6622029 - Postoperative aural attico-antroscopy for cholesteatoma.
20532799 - Prevalence and risk factors for vitamin d deficiency among healthy infants and young ch...
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Paediatric anaesthesia     Volume:  13     ISSN:  1155-5645     ISO Abbreviation:  Paediatr Anaesth     Publication Date:  2003 Jun 
Date Detail:
Created Date:  2003-06-06     Completed Date:  2003-10-15     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9206575     Medline TA:  Paediatr Anaesth     Country:  France    
Other Details:
Languages:  eng     Pagination:  438-40     Citation Subset:  IM    
Affiliation:
Department of Anesthesiology, Ibaraki Children's Hospital, Mito, Japan.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Anesthesia, Inhalation
Female
Humans
Infant
Laryngeal Masks*
Pneumonectomy
Pulmonary Emphysema / radiography,  surgery*,  therapy
Respiration, Artificial / methods*
Comments/Corrections
Comment In:
Paediatr Anaesth. 2003 Jun;13(5):373-4   [PMID:  12791108 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Life threatening unilateral pulmonary overinflation might be more successfully treated by contralate...
Next Document:  Double trouble: prolapsing epiglottis and unexpected dual pathology in an infant.