Chandrakala K R, Nagaraj Bindu, Bhagya D V, Chandrika Y R
Department of Paediatric Anaesthesia, Indira Gandhi Institute of Child Health, Bengaluru, Karnataka, India.
Indian J Anaesth. 2016 Feb;60(2):127-30. doi: 10.4103/0019-5049.176269.
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.
因意外吞服腐蚀性物质导致食管狭窄而造成的食管长度丧失或管腔闭塞在儿童中更为常见，可能需要进行大型手术重建。已经开发了多种用于食管解剖学替代的手术方法，其中胸腔镜辅助胃转位术在儿童中显示出最佳效果。这需要进行广泛的术前评估、准备和麻醉管理，因为这是一项在单肺通气（OLV）下进行的具有挑战性且耗时的手术。尽管这是一种微创手术，但在这些儿童中提供OLV以及处理与之相关的并发症是麻醉方面的挑战。我们报告了一名8岁因腐蚀性损伤导致食管狭窄的男孩接受胸腔镜辅助胃转位术的麻醉管理情况。
