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Peer-reviewedCC BY-NC-SA 4.0Annals of Cardiac Anaesthesia

Ventilation Strategies in a Pediatric Patient Undergoing Resection and Anastomosis for a Juxta Carinal Tumor

  • Anju E. Brillin1
  • Achinthya R. Arul1
  • Antrofelix M. Dhasan1
  • Sundeep Kisku2
  • Anita S. Joselyn1
  1. 1Department of Anesthesia, Christian Medical College and Hospital, Vellore, Tamil Nadu, India
  2. 2Department of Pediatric Surgery, Christian Medical College and Hospital, Vellore, Tamil Nadu, India
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Abstract

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.

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Cite

BibTeXRIS
BibTeX
@article{brillin2026ventilation,
  title = {{Ventilation Strategies in a Pediatric Patient Undergoing Resection and Anastomosis for a Juxta Carinal Tumor}},
  author = {Anju E. Brillin and Achinthya R. Arul and Antrofelix M. Dhasan and Sundeep Kisku and Anita S. Joselyn},
  journal = {Annals of Cardiac Anaesthesia},
  year = {2026},
  month = oct,
  doi = {10.4103/aca.aca_332_25},
  url = {https://doi.org/10.4103/aca.aca_332_25},
  note = {CC BY-NC-SA 4.0},
}
RIS
TY  - JOUR
TI  - Ventilation Strategies in a Pediatric Patient Undergoing Resection and Anastomosis for a Juxta Carinal Tumor
AU  - Anju E. Brillin
AU  - Achinthya R. Arul
AU  - Antrofelix M. Dhasan
AU  - Sundeep Kisku
AU  - Anita S. Joselyn
PY  - 2026
DA  - 2026/10/12
JO  - Annals of Cardiac Anaesthesia
DO  - 10.4103/aca.aca_332_25
UR  - https://doi.org/10.4103/aca.aca_332_25
AB  - 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.
SN  - 0971-9784
SN  - 0974-5181
ER  -