Pediatric anesthesia & critical care
Perioperative Care for Pediatric Patients Undergoing Lung Surgery: Retrospective Single Center 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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