Cargando…
Anesthesia management in neonatal congenital bronchobiliary fistula: case report and literature review
BACKGROUND: There is very little published literature and none that discussed care in a neonate regarding anesthetic risk and management of neonate with congenital bronchobiliary fistula during thoracoscopy and thoracotomy. This article analyzes related risk factors and literature review from periop...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7265160/ https://www.ncbi.nlm.nih.gov/pubmed/32487137 http://dx.doi.org/10.1186/s12871-020-01052-4 |
_version_ | 1783541077406384128 |
---|---|
author | Yin, Hong Zhao, Guangyi Du, Yingjie Zhao, Ping |
author_facet | Yin, Hong Zhao, Guangyi Du, Yingjie Zhao, Ping |
author_sort | Yin, Hong |
collection | PubMed |
description | BACKGROUND: There is very little published literature and none that discussed care in a neonate regarding anesthetic risk and management of neonate with congenital bronchobiliary fistula during thoracoscopy and thoracotomy. This article analyzes related risk factors and literature review from perioperative ventilation, circulation and other aspects of management. CASE PRESENTATION: A neonate diagnosed as congenital bronchobiliary fistula combined with severe chemical pneumonia, consolidation of the lungs, and infection was facing the risk of anaesthesia under thoracoscopy exploration surgery, who experiened more than 20 days diagnostic period before operation. Many risk factors have led to conversion from minimally invasive surgery to thoracotomy, including persistent hypoxemia, hypercapnia, difficult surgical exposure and extremly difficulty of intraoperative ventilation management. Anesthesia maintenance after conversion to open access remained problematic. Fortunately the patient showed no sign of any adverse CNS effects after 4 months of follow-up. CONCLUSIONS: The most prominent anesthesia challenges are hypoxemia, increased airway resistance, impaired ventilation, and the risk of metabolic acidosis. Close cooperation among the entire neonatal medical team is the key factors in successful management of this rare case. |
format | Online Article Text |
id | pubmed-7265160 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-72651602020-06-02 Anesthesia management in neonatal congenital bronchobiliary fistula: case report and literature review Yin, Hong Zhao, Guangyi Du, Yingjie Zhao, Ping BMC Anesthesiol Case Report BACKGROUND: There is very little published literature and none that discussed care in a neonate regarding anesthetic risk and management of neonate with congenital bronchobiliary fistula during thoracoscopy and thoracotomy. This article analyzes related risk factors and literature review from perioperative ventilation, circulation and other aspects of management. CASE PRESENTATION: A neonate diagnosed as congenital bronchobiliary fistula combined with severe chemical pneumonia, consolidation of the lungs, and infection was facing the risk of anaesthesia under thoracoscopy exploration surgery, who experiened more than 20 days diagnostic period before operation. Many risk factors have led to conversion from minimally invasive surgery to thoracotomy, including persistent hypoxemia, hypercapnia, difficult surgical exposure and extremly difficulty of intraoperative ventilation management. Anesthesia maintenance after conversion to open access remained problematic. Fortunately the patient showed no sign of any adverse CNS effects after 4 months of follow-up. CONCLUSIONS: The most prominent anesthesia challenges are hypoxemia, increased airway resistance, impaired ventilation, and the risk of metabolic acidosis. Close cooperation among the entire neonatal medical team is the key factors in successful management of this rare case. BioMed Central 2020-06-02 /pmc/articles/PMC7265160/ /pubmed/32487137 http://dx.doi.org/10.1186/s12871-020-01052-4 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Case Report Yin, Hong Zhao, Guangyi Du, Yingjie Zhao, Ping Anesthesia management in neonatal congenital bronchobiliary fistula: case report and literature review |
title | Anesthesia management in neonatal congenital bronchobiliary fistula: case report and literature review |
title_full | Anesthesia management in neonatal congenital bronchobiliary fistula: case report and literature review |
title_fullStr | Anesthesia management in neonatal congenital bronchobiliary fistula: case report and literature review |
title_full_unstemmed | Anesthesia management in neonatal congenital bronchobiliary fistula: case report and literature review |
title_short | Anesthesia management in neonatal congenital bronchobiliary fistula: case report and literature review |
title_sort | anesthesia management in neonatal congenital bronchobiliary fistula: case report and literature review |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7265160/ https://www.ncbi.nlm.nih.gov/pubmed/32487137 http://dx.doi.org/10.1186/s12871-020-01052-4 |
work_keys_str_mv | AT yinhong anesthesiamanagementinneonatalcongenitalbronchobiliaryfistulacasereportandliteraturereview AT zhaoguangyi anesthesiamanagementinneonatalcongenitalbronchobiliaryfistulacasereportandliteraturereview AT duyingjie anesthesiamanagementinneonatalcongenitalbronchobiliaryfistulacasereportandliteraturereview AT zhaoping anesthesiamanagementinneonatalcongenitalbronchobiliaryfistulacasereportandliteraturereview |