{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T13:46:49Z","timestamp":1791985609239,"version":"4.4.0"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Tumors close to the carina pose a unique challenge to the Anesthesiologist in terms of lung isolation and ventilation strategies. We present the case of a 15-year-old patient who was diagnosed with a myofibroblastic tumor in the left main bronchus and carina, posted for a robotic assisted sleeve resection and anastomosis. The surgical approach was from the right side. Hence, the traditional strategies for right lung ventilation could not be employed. A combination of endobronchial intubation, jet ventilation via airway exchange catheter (AEC) and cross field ventilation enabled us to complete the procedure successfully.<\/jats:p>","DOI":"10.4103\/aca.aca_332_25","type":"journal-article","created":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T17:00:14Z","timestamp":1791824414000},"page":"610-613","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Ventilation Strategies in a Pediatric Patient Undergoing Resection and Anastomosis for a Juxta Carinal Tumor"],"prefix":"10.4103","volume":"29","author":[{"given":"Anju E.","family":"Brillin","sequence":"first","affiliation":[{"name":"Department of Anesthesia, Christian Medical College and Hospital, Vellore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Achinthya R.","family":"Arul","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, Christian Medical College and Hospital, Vellore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antrofelix M.","family":"Dhasan","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, Christian Medical College and Hospital, Vellore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sundeep","family":"Kisku","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Christian Medical College and Hospital, Vellore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anita S.","family":"Joselyn","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, Christian Medical College and Hospital, Vellore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,10,12]]},"reference":[{"key":"R1-20261014","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.epsc.2015.12.003","article-title":"Carinal resection and reconstruction following inflammatory myofibroblastic tumor resection: A case report","volume":"5","author":"Lyon","year":"2016","journal-title":"J Pediatr Surg Case Rep"},{"key":"R2-20261014","first-page":"12703","article-title":"Anaesthesia consideration for carinal resection and reconstruction\u2014a case report","author":"Amit","year":"2020","journal-title":"Indian J Clin Anaesth 2020"},{"key":"R4-20261014","doi-asserted-by":"crossref","first-page":"6","DOI":"10.21037\/vats.2019.12.08","article-title":"Anesthesia considerations for robotic thoracic surgery","volume":"5","author":"Ruan","year":"2020","journal-title":"Video-Assist Thorac Surg"},{"key":"R5-20261014","doi-asserted-by":"crossref","first-page":"4631","DOI":"10.21037\/tlcr-21-917","article-title":"Airway management and anesthesia for airway surgery: A narrative review","volume":"10","author":"Li","year":"2021","journal-title":"Transl Lung Cancer Res"},{"key":"R6-20261014","doi-asserted-by":"crossref","first-page":"270","DOI":"10.3390\/cancers17020270","article-title":"Resection and reconstruction for lung and airway tumors invading the carina","volume":"17","author":"Vanni","year":"2025","journal-title":"Cancers"},{"key":"R7-20261014","first-page":"972762","article-title":"Thoracic anesthesia and cross field ventilation for tracheobronchial injuries: A challenge for anesthesiologists","author":"Sehgal","year":"2014","journal-title":"Case Rep Anesthesiol 2014"},{"key":"R8-20261014","first-page":"2024","article-title":"Robotic-assisted carinal reconstruction using cross-table ventilation","author":"Mughal","year":"2024","journal-title":"Multimed Man Cardiothorac Surg MMCTS"}],"container-title":["Annals of Cardiac Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aca.aca_332_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T13:01:15Z","timestamp":1791982875000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aca.aca_332_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":7,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/aca.aca_332_25","relation":{},"ISSN":["0971-9784","0974-5181"],"issn-type":[{"value":"0971-9784","type":"print"},{"value":"0974-5181","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10]]},"assertion":[{"value":"2025-11-11","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-16","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}