{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T23:01:25Z","timestamp":1792623685191,"version":"4.5.0"},"reference-count":24,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2018,10,3]],"date-time":"2018-10-03T00:00:00Z","timestamp":1538524800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Anesthesia"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Video\u2010assisted thoracoscopic surgery has dramatically increased over the last decade because of both medical and cosmetic benefits. Anesthesia for video\u2010assisted thoracoscopic surgery in small children is more challenging compared to adults due to the considerable problems posed by small airway dimensions and ventilation. The optimal technique for one\u2010lung ventilation has yet to be established and the use of remifentanil infusion in this setting is not well described.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>This study investigated the use of extraluminal bronchial blocker placement for one\u2010lung ventilation and the effect of infusion of remifentanil in infants and small children undergoing video\u2010assisted thoracoscopic surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We retrospectively reviewed the technique of one\u2010lung ventilation and the hemodynamic effects of remifentanil infusion in 31 small children during elective video\u2010assisted thoracoscopic surgery for congenital lung lesions under anesthesia with sevoflurane or isoflurane, oxygen, and air. Patients\u2019 heart rate, blood pressure, and endtidal carbon dioxide at baseline (after induction of anesthesia), immediately after one\u2010lung ventilation, during carbon dioxide insufflation, and at the end of one\u2010lung ventilation were extracted from the database and analyzed. The use of vasopressors or dexmedetomidine was also recorded and analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Extraluminal placement of a bronchial blocker alongside the tracheal tube was successfully performed in 90.3% of cases (28 patients) without any serious complications or arterial oxygen desaturation. There was no significant rise in blood pressure or heart rate even with the rise of endtidal carbon dioxide concentration during video\u2010assisted thoracoscopic surgery. In 58% of patients (18 patients), phenylephrine was administered to maintain the blood pressure within 20% of the baseline value. There was no significant change in the heart rate of all patients at each time point.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>One\u2010lung ventilation with an extraluminal parallel blocker was used effectively in this series of young children undergoing thoracoscopic excision of congenital pulmonary lesions. Remifentanil infusion attenuated surgical stress effectively in infants and small children undergoing video\u2010assisted thoracoscopic surgery.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pan.13502","type":"journal-article","created":{"date-parts":[[2018,10,5]],"date-time":"2018-10-05T14:09:10Z","timestamp":1538748550000},"page":"1035-1042","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Anesthetic management of thoracoscopic resection of lung lesions in small children"],"prefix":"10.1111","volume":"28","author":[{"given":"Sanah","family":"Mohtar","sequence":"first","affiliation":[{"name":"Department of Anesthesia and Intensive Care Hospital Kuala Lumpur Kuala Lumpur Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7851-2343","authenticated-orcid":false,"given":"Theresa W. C.","family":"Hui","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology Queen Mary Hospital Hong Kong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael G.","family":"Irwin","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology University of Hong Kong Hong Kong China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,10,3]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1515\/jpme.1996.24.6.621"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1053\/jpsu.2003.50119"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.siny.2012.01.011"},{"key":"e_1_2_8_5_1","first-page":"83","article-title":"Thoracoscopy versus thoracotomy: indications and advantages","volume":"61","author":"Weatherford DA","year":"1995","journal-title":"Am Surg"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.4103\/0972-9941.38910"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcts.2005.12.060"},{"issue":"2","key":"e_1_2_8_8_1","first-page":"42","article-title":"Two\u2010lung versus single\u2010lung ventilation in children undergoing video\u2010assisted thoracoscopic repair of congenital diaphragmatic hernia","volume":"6","author":"Al Adawy ASA","year":"2012","journal-title":"Egypt J Cardiothorac Anesth"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF03020518"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2352-4642(18)30035-X"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0952-8180(99)00081-1"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40122-016-0045-2"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-6576.2009.02177.x"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12035-016-0229-0"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-012-3243-y"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.sempedsurg.2007.06.004"},{"key":"e_1_2_8_17_1","doi-asserted-by":"crossref","first-page":"1426","DOI":"10.1213\/00000539-199912000-00019","article-title":"Methods of single\u2010lung ventilation in pediatric patients","volume":"89","author":"Hammer GB","year":"1999","journal-title":"Anesth Analg"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000539-200106000-00021"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1460-9592.2005.01421.x"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aeh292"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-6576.2007.01575.x"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000539-199808000-00016"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/pan.12528"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1213\/01.ane.0000297419.02643.d7"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1460-9592.2008.02514.x"}],"container-title":["Pediatric Anesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fpan.13502","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pan.13502","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,16]],"date-time":"2023-09-16T18:40:29Z","timestamp":1694889629000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/pan.13502"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,10,3]]},"references-count":24,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2018,11]]}},"alternative-id":["10.1111\/pan.13502"],"URL":"https:\/\/doi.org\/10.1111\/pan.13502","archive":["Portico"],"relation":{},"ISSN":["1155-5645","1460-9592"],"issn-type":[{"value":"1155-5645","type":"print"},{"value":"1460-9592","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,10,3]]},"assertion":[{"value":"2017-09-29","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-08-29","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-10-03","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}