[Case report of using a connector (phycon TCB bronchial blocker) for pediatric one-lung anesthesia].

We report a case of using a connector (Phycon TCB Bronchial Blocker: Fuji Systems) in pediatric one-lung anesthesia. An eight-year-old boy with mid-mediastinal tumor was scheduled for video-assisted thoracoscopic surgery. After tracheal intubation with normal tracheal tube, we connected the connector and confirmed a 5 Fr Fogarty catheter through the tube under fiberoptic visualization. We were able to achieve one-lung ventilation. The operation was uneventful. This connecter is easy to fix and release the catheter. It is useful to modify the catheter position during one lung ventilation for pediatric patients.

[Anesthetic managements of the patients receiving catheterizable cecostomy].

To improve the quality of life of patients suffering from spinal cord injury, "Catheterizable cecostomy" operation have recently been carried out. In the procedure, cathetelizable stoma is opened and patients are able to control the excretion by injecting enema solution through the stoma. Although operations are usually performed under general anesthesia with tracheal intubation, special considerations sometimes need to be taken for airway management. In such cases, we select spinal anesthesia. Because the surgery is achieved on a fixed charge, efficiency of pre-operative assessment should be done for the cost-cutting with shortening of perioperative period. Diseases including hypertension, diabetes mellitus, etc., must be controlled before admission to the hospital. With these considerations, proper pre-operative assessment can be made.