Use of jet ventilation in thoracoscopic tracheo‐esophageal fistula repair—can both surgeons and anesthesiologists be happy?

Summary Laparoscopic and open thoracic surgery in the neonate typically results in hypercapnea and low cardiac output with often poor surgical visualization as the anesthesiologist attempts to correct the respiratory derangements usually seen. We describe three cases in which jet ventilation provide...

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Bibliographic Details
Published in:Pediatric anesthesia 2015-08, Vol.25 (8), p.860-862
Main Authors: Ehlers, Melissa, Pezzano, Chad, Leduc, Laura, Brooks, John, Silva, Plinio, Oechsner, Helena, Crnkovic, Anica, Galay, Igor, Afroze, Farzana, Polaner, David
Format: Article
Language:English
Subjects:
esophageal atresia
Female
High-Frequency Jet Ventilation
Humans
hypercarbia
hypoxia
Infant, Newborn
jet ventilation
Thoracic surgery
Thoracoscopy
Tracheoesophageal Fistula - surgery
tracheo‐esophageal fistula
Treatment Outcome
Ventilation
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Summary:Summary Laparoscopic and open thoracic surgery in the neonate typically results in hypercapnea and low cardiac output with often poor surgical visualization as the anesthesiologist attempts to correct the respiratory derangements usually seen. We describe three cases in which jet ventilation provided not only superior ventilation with a return to normocapnea but also ideal operating conditions. In addition, jet ventilation utilizes lower mean airway pressures which typically results in improved cardiac output.
ISSN:1155-5645
1460-9592
DOI:10.1111/pan.12641