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Inicio Revista Española de Anestesiología y Reanimación (English Edition) Original and minimally invasive approach to a left-lung refractory atelectasis a...
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Vol. 68. Issue 7.
Pages 420-423 (August - September 2021)
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Vol. 68. Issue 7.
Pages 420-423 (August - September 2021)
Case report
Original and minimally invasive approach to a left-lung refractory atelectasis after reparation of an aortic recoarctation in a lactant: Selective endobronchial CPAP
Manejo original y mínimamente invasivo de atelectasia pulmonar refractaria en lactante postoperado de recoartación aórtica: CPAP endobronquial selectiva
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O. Cervera Gila,
Corresponding author
omarcg@gmail.com

Corresponding author.
, P. Sanabria Carreterob, L. Castroa, F. Reinoso Barberoc, L. Polo Lópezd, C. Andrés de la Torree
a Servicio Anestesia y Reanimación, Hospital Universitario La Paz, Madrid, Spain
b Sección de Anestesia y Reanimación Pediátrica, Hospital Universitario La Paz, Madrid, Spain
c Servicio de Anestesia y Reanimación Pediátrica, Hospital Universitario La Paz, Madrid, Spain
d Servicio de Cirugía Cardiovascular Infantil, Hospital Universitario La Paz, Madrid, Spain
e Servicio de Cirugía Pediátrica, Hospital Universitario La Paz, Madrid, Spain
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Abstract

Atelectasis is one of the most common respiratory complications in pediatric patients after open-heart surgery, and may lead to weaning failure and increased morbidity. We report the use of an original, minimally invasive approach to refractory left lung atelectasis after repair of an aortic coarctation in a 2 month-old infant, in which a CPAP system connected to a flexible endobronchial tube resolved the atelectasis.

Keywords:
Atelectasis
Pediatric anaesthesia
CPAP
Minimally invasive
Resumen

Las atelectasias postoperatorias en pacientes pediátricos sometidos a cirugía cardíaca son muy frecuentes y condicionan un fracaso en el destete con un notable aumento de la morbilidad y estancia en unidades de cuidados críticos. Presentamos un abordaje original y endoscópico para atelectasias refractarias a otras terapias a raíz de un caso de atelectasia pulmonar izquierda en una lactante de 2 meses intervenida de re-coartación aórtica. Nuestra propuesta utilizó un sistema de CPAP aplicado por medio de una sonda endobronquial selectiva que actuó resolviendo el cuadro favorablemente.

Palabras clave:
Atelectasias
Anestesia pediátrica
CPAP
Mínimamente invasivo

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