A 2-year-old boy has presented for left VATS and decortication for an empyema after a chest infection. He has been on the ward in your tertiary referral centre for three days receiving antibiotics.
There is no significant past medical history and he has normal developmental milestones.
Vital signs:
HR 130 bpm
BP 95/52 mmHg
respiratory rate 28 bpm
temperature 37.5oC
weight 12 kg
He has been discussed at a multidisciplinary meeting and has been deemed suitable for surgery.
His chest X-ray is presented here.
Sections covered in this viva
Assessment of an acutely unwell child and consideration of options for one lung ventilationManagement of intraoperative paediatric arrestPain management plan post thoracotomy