{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:36:24Z","timestamp":1787841384295,"version":"build-2784847793"},"reference-count":2,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2018,1]]},"abstract":"<jats:p>Glenn shunt is an anastomosis between superior vena cava and right pulmonary artery to palliate patients with single ventricle physiology of the heart. Chylothorax is a frequent and troublesome complication after the creation of this shunt, which if not controlled with medical management, might require pleurodesis, and thoracic duct ligation. Video-assisted thoracoscopic surgery (VATS) causes less postoperative pain, earlier mobilization, lower overall morbidity, a shortened hospital stay with reduced cost, and a cosmetic incision. A comprehensive understanding of physiology of Glenn shunt and implications of the proposed surgical procedure (VATS) is necessary to plan the anesthetic agents, cardiovascular drugs, ventilation strategies, and other perioperative factors.<\/jats:p>","DOI":"10.4103\/sja.sja_395_17","type":"journal-article","created":{"date-parts":[[2018,1,8]],"date-time":"2018-01-08T01:07:11Z","timestamp":1515373631000},"page":"131-133","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Anesthetic considerations for video-assisted thoracoscopic surgery in a child with Glenn shunt for thoracic duct ligation and pleurodesis"],"prefix":"10.4103","volume":"12","author":[{"given":"Bhavna","family":"Kakkar","sequence":"first","affiliation":[{"name":"Department of Anaesthesia, Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Munisha","family":"Agarwal","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aakanksha","family":"Sehgal","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neelam Prasad","family":"Govil","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20250920","doi-asserted-by":"crossref","first-page":"653","DOI":"10.1067\/mpd.2000.104287","article-title":"Etiology and management of pediatric chylothorax","volume":"136","author":"Beghetti","year":"2000","journal-title":"J Pediatr"},{"key":"R3-20250920","doi-asserted-by":"crossref","first-page":"132","DOI":"10.4103\/0971-9784.41586","article-title":"Role of alpha adrenergic antagonism in a child with a bidirectional Glenn shunt undergoing cleft palate repair","volume":"11","author":"Maddali","year":"2008","journal-title":"Ann Card Anaesth"}],"container-title":["Saudi Journal of Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/01437113-201812010-00025","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:52:29Z","timestamp":1787838749000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/01437113-201812010-00025"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,1]]},"references-count":2,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2018]]}},"URL":"https:\/\/doi.org\/10.4103\/sja.sja_395_17","relation":{},"ISSN":["1658-354X","0975-3125"],"issn-type":[{"value":"1658-354X","type":"print"},{"value":"0975-3125","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,1]]}}}