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CASE REPORT
Year : 2020  |  Volume : 3  |  Issue : 2  |  Page : 85-87

Airway management of transbronchial lung cryobiopsy: What is different in a paediatric patient?


1 Department of Onco-Anaesthesia and Palliative Medicine, Dr BRAIRCH, All India Institute of Medical Sciences, New Delhi, India
2 Department of Pulmonary Medicine and Sleep Disorders, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Dr. Rakesh Garg
Room No 139, First Floor, Department of Onco-Anaesthesia and Palliative Medicine, Dr BRAIRCH, All India Institute of Medical Sciences, Ansari Nagar, New Delhi - 110 029
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ARWY.ARWY_7_20

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Various modalities such as cryoprobe-transbronchial lung biopsy (TBLB)/transbronchial lung cryobiopsy (TBLC) have been described for lung biopsy procedure. However, anaesthetic concerns related to periprocedural planning for paediatric TBLC have not been previously reported in the literature as clinical experience with paediatric TBLC is just evolving. The airway and general anaesthetic management of TBLC in a 12-year-old girl is described. TBLC in a child requires rigid bronchoscopy under general anaesthesia by an experienced endoscopist who, along with the anaesthesiologist, is alert all the time to keep the peak airway pressures low to avoid barotrauma.


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