Anesthesia for Innovative Pediatric Surgical Procedures

Johanna Meehyun Lee; Erica Gee; Chang Amber Liu

doi:10.1016/j.anclin.2020.06.004

Anesthesia for Innovative Pediatric Surgical Procedures

Anesthesiol Clin. 2020 Sep;38(3):493-508. doi: 10.1016/j.anclin.2020.06.004.

Authors

Johanna Meehyun Lee¹, Erica Gee¹, Chang Amber Liu²

Affiliations

¹ Department of Anesthesia, Critical Care and Pain Medicine, Harvard Medical School, Massachusetts General Hospital, 55 Fruit Street, GRB 444, Boston, MA 02114, USA.
² Department of Anesthesia, Critical Care and Pain Medicine, Harvard Medical School, Massachusetts General Hospital, 55 Fruit Street, GRB 444, Boston, MA 02114, USA. Electronic address: cliu19@partners.org.

PMID: 32792179
DOI: 10.1016/j.anclin.2020.06.004

Abstract

Over the past few decades, there have been many advances in pediatric surgery, some using new devices (eg, VEPTR, MAGEC rods) and others using less invasive approaches (eg, Nuss procedure, endoscopic cranial suture release, minimally invasive tethered cord release). Although many of these procedures were initially met with caution or skepticism, continued experience over the past few decades has shown that these procedures are safe and effective. This article reviews the anesthetic considerations for these conditions and procedures.

Keywords: Craniosynostosis; Endoscopic cranial suture release; Minimally invasive tethered cord release; Nuss procedure; Pectus excavatum; Tethered cord syndrome; Thoracic insufficiency syndrome; Vertical expandable prosthetic titanium rib (VEPTR).

Publication types

Review

MeSH terms

Anesthesia / methods*
Child
Craniosynostoses / surgery*
Funnel Chest / surgery*
Humans
Minimally Invasive Surgical Procedures / methods*
Neural Tube Defects / surgery*
Respiratory Insufficiency / surgery*
Syndrome