Challenges in Anaesthetic management of a child for thoracoscopic assisted oesophageal replacement
The loss of oesophageal length or obliteration of oesophageal lumen due to stricture acquired by accidental caustic ingestion is more common in children that may require major operative reconstruction. A number of procedures have been developed for anatomic replacement of oesophagus of which thoraco...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2016-01-01
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| Series: | Indian Journal of Anaesthesia |
| Subjects: | |
| Online Access: | http://www.ijaweb.org/article.asp?issn=0019-5049;year=2016;volume=60;issue=2;spage=127;epage=130;aulast=Chandrakala |
| _version_ | 1818472009576742912 |
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| author | K R Chandrakala Bindu Nagaraj D V Bhagya Y R Chandrika |
| author_facet | K R Chandrakala Bindu Nagaraj D V Bhagya Y R Chandrika |
| author_sort | K R Chandrakala |
| collection | DOAJ |
| description | The loss of oesophageal length or obliteration of oesophageal lumen due to stricture acquired by accidental caustic ingestion is more common in children that may require major operative reconstruction. A number of procedures have been developed for anatomic replacement of oesophagus of which thoracoscopic assisted gastric transposition has shown the best outcome in children. This demands an extensive pre-operative evaluation, preparation and anaesthetic management since this is challenging and prolonged procedure done under one lung ventilation (OLV). Though it is a minimally invasive procedure, providing OLV and management of complications associated with it are the anaesthetic challenges among these children. We report anaesthetic management of an 8-year-old boy with oesophageal stricture following corrosive injury posted for thoracoscopic assisted gastric transposition. |
| first_indexed | 2024-04-14T03:59:44Z |
| format | Article |
| id | doaj.art-dde4e3b41b474abfaeebd490d4c04a6b |
| institution | Directory Open Access Journal |
| issn | 0019-5049 |
| language | English |
| last_indexed | 2024-04-14T03:59:44Z |
| publishDate | 2016-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Anaesthesia |
| spelling | doaj.art-dde4e3b41b474abfaeebd490d4c04a6b2022-12-22T02:13:38ZengWolters Kluwer Medknow PublicationsIndian Journal of Anaesthesia0019-50492016-01-0160212713010.4103/0019-5049.176269Challenges in Anaesthetic management of a child for thoracoscopic assisted oesophageal replacementK R ChandrakalaBindu NagarajD V BhagyaY R ChandrikaThe loss of oesophageal length or obliteration of oesophageal lumen due to stricture acquired by accidental caustic ingestion is more common in children that may require major operative reconstruction. A number of procedures have been developed for anatomic replacement of oesophagus of which thoracoscopic assisted gastric transposition has shown the best outcome in children. This demands an extensive pre-operative evaluation, preparation and anaesthetic management since this is challenging and prolonged procedure done under one lung ventilation (OLV). Though it is a minimally invasive procedure, providing OLV and management of complications associated with it are the anaesthetic challenges among these children. We report anaesthetic management of an 8-year-old boy with oesophageal stricture following corrosive injury posted for thoracoscopic assisted gastric transposition.http://www.ijaweb.org/article.asp?issn=0019-5049;year=2016;volume=60;issue=2;spage=127;epage=130;aulast=ChandrakalaAnesthesia, oesophageal replacement, pediatric thoracoscopy, video-assisted thoracoscopic surgery |
| spellingShingle | K R Chandrakala Bindu Nagaraj D V Bhagya Y R Chandrika Challenges in Anaesthetic management of a child for thoracoscopic assisted oesophageal replacement Indian Journal of Anaesthesia Anesthesia, oesophageal replacement, pediatric thoracoscopy, video-assisted thoracoscopic surgery |
| title | Challenges in Anaesthetic management of a child for thoracoscopic assisted oesophageal replacement |
| title_full | Challenges in Anaesthetic management of a child for thoracoscopic assisted oesophageal replacement |
| title_fullStr | Challenges in Anaesthetic management of a child for thoracoscopic assisted oesophageal replacement |
| title_full_unstemmed | Challenges in Anaesthetic management of a child for thoracoscopic assisted oesophageal replacement |
| title_short | Challenges in Anaesthetic management of a child for thoracoscopic assisted oesophageal replacement |
| title_sort | challenges in anaesthetic management of a child for thoracoscopic assisted oesophageal replacement |
| topic | Anesthesia, oesophageal replacement, pediatric thoracoscopy, video-assisted thoracoscopic surgery |
| url | http://www.ijaweb.org/article.asp?issn=0019-5049;year=2016;volume=60;issue=2;spage=127;epage=130;aulast=Chandrakala |
| work_keys_str_mv | AT krchandrakala challengesinanaestheticmanagementofachildforthoracoscopicassistedoesophagealreplacement AT bindunagaraj challengesinanaestheticmanagementofachildforthoracoscopicassistedoesophagealreplacement AT dvbhagya challengesinanaestheticmanagementofachildforthoracoscopicassistedoesophagealreplacement AT yrchandrika challengesinanaestheticmanagementofachildforthoracoscopicassistedoesophagealreplacement |