One-Lung Ventilation in a Pediatric Tracheostomy Patient: A Case Report.
Lindsey G McCabe, Marianfeli Landino-Delgado, Lauren Powell
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Case in brief
A 20-month-old male with congenital lobar emphysema required a right middle lobectomy. He was ventilator-dependent following previous surgeries, including a tracheostomy. Due to a recent accidental decannulation, maintaining stoma patency was critical during the procedure. The report details a novel approach to achieve one-lung ventilation in this pediatric patient with a tracheostomy.
What made this case unusual
The case highlights a unique method for achieving one-lung ventilation in a pediatric patient with a tracheostomy, which is not commonly addressed in standard practices.
Diagnostic / clinical pearl
Clinicians should consider alternative ventilation strategies in pediatric patients with tracheostomies, especially when traditional intubation methods are not feasible.
Why it matters
This case underscores the importance of adapting anesthetic techniques to accommodate the specific needs of complex pediatric patients, enhancing safety and efficacy during surgery.