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Paediatric anaesthesia · Aug 2015
Case ReportsUse of jet ventilation in thoracoscopic tracheo-esophageal fistula repair-can both surgeons and anesthesiologists be happy?
- Melissa Ehlers, Chad Pezzano, Laura Leduc, John Brooks, Plinio Silva, Helena Oechsner, Anica Crnkovic, Igor Galay, and Farzana Afroze.
- Departments of Anesthesiology and Pediatrics, Albany Medical College, Albany, NY, USA.
- Paediatr Anaesth. 2015 Aug 1;25(8):860-2.
AbstractLaparoscopic 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.© 2015 John Wiley & Sons Ltd.
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