[Anesthetic management with remifentanil during thoracic surgery in a pediatric patient--case report of a patient with congenital cyst adenoid malformation].

Abstract

We gave general anesthesia for the lower right lobe resection in an infant with congenital cystic adenomatoid malformation (CCAM). Anesthesia was performed with sevoflurane inhalation, intravenous infusion of remifentanil and intermittent injection of fentanyl. Intraoperative anesthetic course was uneventful except for failure of one lung ventilation. After all surgical procedures, intercostal nerve block under direct vision by surgeon and intravenous infusion of fentanyl were performed for postoperative analgesia. Emergence from anesthesia was prompt, and the tracheal tube could be removed without any troubles. Remifentanil is an effective and safe opioid to use for thoracic surgery even in infants.

• Authors: Hiroyuki Nishi, Sayaka Tokeshi, Hiroshi Iha, Iwao Nakahara, Manabu Kakinohana, Kazuhiro Sugahara
• Journal: Masui. The Japanese journal of anesthesiology (Masui) Vol. 60 Issue 10 Pg. 1192-4 (Oct 2011) ISSN: 0021-4892 [Print] Japan
• PMID: 22111363 (Publication Type: Case Reports, Journal Article)

Chemical References

• Methyl Ethers
• Piperidines
• Sevoflurane
• Remifentanil
• Fentanyl

Topics

• Anesthesia, General
• Cystic Adenomatoid Malformation of Lung, Congenital (surgery)
• Female
• Fentanyl
• Humans
• Infant
• Methyl Ethers
• Pain, Postoperative (prevention & control)
• Piperidines
• Pneumonectomy
• Remifentanil
• Sevoflurane