Anesthetic management in two infants with cystic adenomatoid malformation - Case report
This case describes the anesthetic technique used in two symptomatic neonates with a prenatal diagnosis of cystic adenomatoid malformation that underwent surgery under general anesthesia at the San Ignacio University Hospital. One was under one-lung ventilation and ultrasound-guided caudal catheter analgesia and the second one with general anesthesia and two-lung ventilation.
A cystic adenomatoid malformation is a rare pathology with improved outcomes with early diagnosis and management, and a survival rate of over 95%.
2. MacSweeney F, Papagiannopoulos K, Goldstraw P, Sheppard MN, Corrin B, Nicholson AG. An assessment of the expanded classification of congenital cystic adenomatoid malformations and their relationship to malignant transformation. Am J Surg Pathol. 2003;27:1139-46.
3. Calvert JK, Lakhoo K. Antenatally suspected congenital cystic adenomatoid malformation of the lung: postnatal investigation and timing of surgery. J Pediatr Surg. 2007;42:411-4.
4. Sfakianaki A, Copel J. Congenital cystic lesions of the lung: congenital cystic adenomatoid malformatio and bronchopulmonary sequestration. Rev Obstet Gynecol. 2012;5:85-93.
5. Kotecha S, Barbato A, Bush A, Claus F Davenport M, Delacourt C, et al. Antenatal and postnatal management of congenital cystic adenomatoid malformation. Paediatr Resp Rev. 2012;13:162-71.
6. Braid R, Puligandla P, Laberge J. Congenital lung malformations: informing best practice. Semin Pediatr Surg. 2014;23:270-7.
7. Stanton M, Njere I, Ade-Ajayi N, Patel S, Davenport M. Systematic review and meta-analysis of the postnatal management of congenital cystic lung lesions. J Pediatr Surg. 2009;44:1027-33.
8. Tsai AY, Liechty KW, Hedrick HL, Bebbington M, Wilson RD, Johnson MP, et al. Outcomes after postnatal resection of prenatally diagnosed asymptomatic cystic lung lesions. J Pediatr Surg. 2008;43:513-7.
9. Rahman N, Lakhoo K. Comparison between open and thoracoscopic resection of congenital lung lesions. J Pediatr Surg. 2009;44:333-6.
10. Nasr A, Bass J. Thoracoscopic vs open resection of congenital lung lesions: a meta analysis. J Pediatr Surg. 2012;47:857-61.
11. Wall J, Coates A. Prenatal imaging and postnatal presentation diagnosis and management of congenital lung malformations. Curr Opin Pediatr. 2014;26:315-9.
The Sociedad Colombiana de Anestesiología y Reanimación (S.C.A.R.E.) is the owner of all copyrights to any articles published in the journal. Published manuscripts become the permanent property of S.C.A.R.E. and may not be published elsewhere without written permission. S.C.A.R.E. keeps the right to use these manuscripts in any form, including print, video, audio and digital.
Creative Commons License
Open-access articles can be read, downloaded and shared on a free basis upon publication. The Journal publishes all articles under the CCBY- NC-ND license. Attribution-NonCommercial-NoDerivs: CC BY- NC-ND. Of the six main licenses, this is the most restrictive because it only allows others to download and share articles as long as they give credit to the author, but they cannot in any way change the paper or use it commercially.