Pediatric anesthesia & critical care
A 10‐Year Retrospective Study: To Evaluate the Anesthetic and Surgical Management for Pulmonary Hydatid Cyst in Children
Authors' conclusion
OLV is critical in minimizing spillage and facilitating surgical management in pediatric PH. The incidence of intraoperative complications was higher in those with bilateral Pulmonary hydatid disease. The duration of One Lung Ventilation (OLV) and hospital stay was prolonged in those with complicated pulmonary hydatid cyst.
Study context
- Population
- Children ≤ 18 years undergoing surgery for pulmonary hydatid disease at a tertiary care center, January 2012–December 2022
- Participants
- 28 children · 31 procedures
- Outcome
- Anesthetic and surgical management
Methodological detailssingle-centre, tertiary care center, 10-year, Data from medical records, operative notes and imaging reports
- Single-centre
- Tertiary care center
- 10-year
- Data from medical records, operative notes and imaging reports
Main finding
As reported in the abstract
- One lung ventilation (OLV) achieved
- 96%
- DLT used
- 45%
- Arndt blocker used
- 33%
- Fogarty blocker used
- 13%
- Ruptured cysts (cases)
- 12
- Bilateral disease (children)
- 3
Observational data: associations, not effects.
Further findings
| Outcome | Mean OLV duration (h) | P value |
|---|---|---|
| Mean OLV duration, complicated vs other cases | 3.42 vs. 2.3 | P = 0.019 |
Extubation and LOS
- Mean LOS (days)
- 7
- All patients extubated on-table
Safety
Perioperative complications
- Desaturation
- 75%
- Transient bradycardia
- 29%
- Major perioperative events, all in children with ruptured cysts
- three
- Postoperative air leaks
- 10
- Air leaks requiring re-surgery
- three
- No long-term morbidity or mortality
Original publication
A 10‐Year Retrospective Study: To Evaluate the Anesthetic and Surgical Management for Pulmonary Hydatid Cyst in Children. Paediatr Anaesth. Published 6 December 2025. doi:10. 1002/ pan. 70100
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