MANAGEMENT OF ANAESTHESIA IN AN INFANT WITH AN ANOMALOUS LUNG ARISING FROM THE OESOPHAGUS

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Abstract
The anesthetic management of a 19 mo. old male infant undergoing pneumonectomy for a rare congenital anomaly is discussed. The trachea communicated solely with the left lung and there was an abnormal communication between the esophagus and the right main-stem bronchus. Gross infection of the right lung was present. The following points are of importance: there is a substantial risk in intubating deeply into the trachea because of the possible existence of a bronchial pouch at the bifurcation; since the stomach may be full of pus, aspiration of pus before induction of anesthesia and before extubation is essential; and pneumonectomy with the patient in the supine position is advised.

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