• J. Cardiothorac. Vasc. Anesth. · Aug 2009

    Comparative Study

    Two-lung high-frequency jet ventilation as an alternative ventilation technique during transthoracic esophagectomy.

    • Marc Buise, Jasper van Bommel, Michel van Genderen, Huug Tilanus, André van Zundert, and Diederik Gommers.
    • Department of Anesthesiology, Erasmus Medical Centre Rotterdam, Rotterdam, The Netherlands. marc.buise@cze.nl
    • J. Cardiothorac. Vasc. Anesth. 2009 Aug 1; 23 (4): 509-12.

    ObjectiveThe aim of this study was to evaluate two-lung high-frequency jet ventilation during esophagectomy and evaluate the influence of high-frequency jet ventilation on pulmonary complications as compared with one-lung ventilation.DesignA retrospective study.SettingsA single-center study in a university hospital.ParticipantsThe authors analyzed the data of patients who had undergone an elective esophagectomy by transthoracic esophagectomy between January 2000 and December 2006.InterventionThe patients had undergone a cervicothoracoabdominal subtotal esophagectomy via a right-sided thoracotomy. Patients with high-frequency jet ventilation were intubated with a single-lumen endotracheal tube, and an oxygen insufflation catheter was placed inside the endotracheal tube and connected to a high-frequency jet ventilator.Measurements And Main ResultsEighty-seven patients were enrolled, 30 with high-frequency jet ventilation and 57 with 1-lung ventilation. Both groups were adequately oxygenated, but patients in the one-lung ventilation group had a higher PaCO2 (42.75 +/- 7.5 mm Hg) compared with that for the high-frequency jet ventilation group (35.25 +/- 8.25 mm Hg) (p < 0.05). There were no differences in postoperative respiratory complications between the 2 groups. Mean blood loss was significantly lower for patients in the high-frequency jet ventilation group (1,243 +/- 787 mL).ConclusionsHigh-frequency jet ventilation to 2 lungs, using a single-lumen tube, is a safe and adequate ventilation technique for use during esophagectomy. High-frequency jet ventilation had no influence on the incidence of postoperative pulmonary complications but reduced perioperative blood loss and led to a decreased need for fluid replacement.

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