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Revista mexicana de anestesiología
Print version ISSN 0484-7903
Abstract
AVELLANEDA-SUAREZ, Fabio Andrés; VIZCAINO-RAMIREZ, Edgardo Luis and RAMIREZ-MORA, Juan Carlos. Anesthetic management in neonates with lung tumors. Rev. mex. anestesiol. [online]. 2022, vol.45, n.2, pp.138-141. Epub Aug 29, 2022. ISSN 0484-7903. https://doi.org/10.35366/103890.
Introduction:
Congenital lung tumors are rare pathologies, likewise when surgical intervention is required, the anesthesiologist faces a challenge in the anesthetic management of these patients.
Presentation of the case:
The following article describes the case of a 26-day-old newborn child scheduled for left posterolateral thoracotomy plus lower left lobectomy and central venous catheter placement under combined anesthesia (balanced general anesthesia plus caudal block with bupivacaine and morphine).
Conclusions:
Anesthetic considerations for surgical procedures in neonates and/or pediatric patients become a challenge for the anesthesiologist, due to the immaturity of some of the systems, thus considering that the ideal anesthetic technique for the proper management of in neonatal patients, the combined technique continues, with epidural blocks for the management of peri- and postoperative pain. The anesthesiologist must keep in mind this technique as well as the events and/or side effects that may derive from it, thus establishing the pertinent treatment in a timely manner.
Keywords : Lung tumors; caudal block; combined anesthesia; neonate.