Pediatric anesthesia & critical care

Perioperative Care for Pediatric Patients Undergoing Lung Surgery: Retrospective Single Center Review

Paediatr AnaesthPublished Retrospective single-centre review

Authors' conclusion

OLV was required in the majority of the population and a bronchial blocker was the preferred method. Epidural analgesia was the preferred choice to tackle perioperative pain.

Study context

Population
Children aged 0–16 years undergoing major lung surgery with anesthesia by the pediatric anesthesia team, 2014–2023 (excluding congenital diaphragmatic hernia, esophageal atresia, pectus excavatum)
Participants
73 children
Outcome
Underlying pathology, surgical procedure, ICU and hospital stay, OLV methods, perioperative analgesia, and (postoperative) complications
Methodological detailstertiary hospital
  • Tertiary hospital

Main finding

As reported in the abstract

Male
55%
Median age
2.8 years
Median weight
12.9 kg
Congenital pulmonary airway malformation
43%
(Partial) lobectomy
45%
One-lung ventilation (OLV) used, primarily via bronchial blocker
81%
Epidural catheter with ropivacaine
71%
IV morphine on POD 1, 2, 3, 4, 5
40%, 34%, 19%, 15%, 11%
Insufficient pain control
14%
ICU admission for one night
70%
Average hospital LOS
8 days

Observational data: associations, not effects.

Original publication

Perioperative Care for Pediatric Patients Undergoing Lung Surgery: Retrospective Single Center Review. Paediatr Anaesth. Published 11 February 2026. doi:10.1002/pan.70144

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