TY - CHAP M1 - Book, Section TI - Chapter 21. Anesthesia for Pediatric Thoracic Surgery A1 - Diaz, Laura K. A1 - Ganesh, Arjunan A1 - Grichnik, Katherine A1 - Eck, John B. A2 - Barbeito, Atilio A2 - Shaw, Andrew D. A2 - Grichnik, Katherine PY - 2012 T2 - Thoracic Anesthesia AB - Infants with unilateral lung disease are best oxygenated with the healthy lung in the nondependent position given the soft, compressible nature of their ribcage, the relationship of FRC to residual volume, and less significant hydrostatic pressure gradient between the right and left lungs. This is contrary with what is usually seen in the adult population.The choice of induction technique (spontaneous breathing versus positive pressure ventilation) during airway foreign body retrieval should be dictated by the location of the foreign body and by the risk of advancing that object to a location in the respiratory tree that either obstructs ventilation or is not easily retrievable.The anesthetic management for a patient presenting with an anterior mediastinal mass is both complex and hazardous, particularly during induction of anesthesia. Maintenance of spontaneous ventilation is often preferred. The availability of a rigid bronchoscope, the ability to reposition the patient easily, and in some cases circulatory support (ECMO) assistance may be indicated for large and/or very symptomatic mediastinal masses. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/03/28 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=56786224 ER -