Anaesthetic Management of Child with Congenital Pulmonary Airway Malformation (CPAM) for Thoracotomy

CPAM refers to multi-cystic masses of segmental lung tissues with abnormal bronchial proliferation. They are seen in 1 per 35,000 live births. They possess multiple challenges to anaesthetists; lateral position, risk of spillage of contents to healthy lung, need of good analgesia and requirement of one lung ventilation of which resources are limited in paediatric population. ^{1, 2}