Abstract:
Modern equipment and surgical techniques have enabled
endoscopic procedures in smaller patients, making thoracoscopy
a possibility for a variety of diagnostic and therapeutic
procedures, even in very young patients.1,2 (Table I)
To understand the perioperative anaesthetic requirements of
paediatric patients for video-assisted thoracoscopic surgery
(VATS), a review of the physiology of one-lung ventilation in the
lateral decubitus position and techniques of lung isolation are
imperative. A review of the general considerations of paediatric
anaesthetic practice fall outside the scope of this review, but
should be kept in mind during VATS procedures in children.
