Continuous positive airway pressure and lung separation during cardiopulmonary bypass to facilitate congenital heart surgery via the right thorax in children

Summary We describe a fast track anesthesia technique that facilitates congenital heart surgery via right axillary thoracotomy in children. Continuous positive airway pressure on the dependent lung, before and during cardiopulmonary bypass, approximates the heart towards the chest wall incision, and...

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Bibliographic Details
Published in:Pediatric anesthesia 2007-07, Vol.17 (7), p.693-696
Main Authors: MITTNACHT, ALEXANDER J.C., JOASHI, UMESH, NGUYEN, KHANH, CHIN, CYNTHIA, SRIVASTAVA, SHUBHIKA, HOLLINGER, INGRID
Format: Article
Language:English
Subjects:
Adult
Anesthesia
Blood Pressure - drug effects
Blood Pressure - physiology
Cardiac Surgical Procedures
Cardiopulmonary Bypass
Catheterization, Central Venous
Child
Child, Preschool
cogenital heart disease
Continuous Positive Airway Pressure
Female
Heart Defects, Congenital - surgery
Humans
Infant
Lung - physiology
Male
Monitoring, Intraoperative
Positive-Pressure Respiration
single lung ventilation
Thoracic Surgical Procedures
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Description
Summary:Summary We describe a fast track anesthesia technique that facilitates congenital heart surgery via right axillary thoracotomy in children. Continuous positive airway pressure on the dependent lung, before and during cardiopulmonary bypass, approximates the heart towards the chest wall incision, and significantly improves the surgeon's access to the heart.
ISSN:1155-5645
1460-9592
DOI:10.1111/j.1460-9592.2007.02195.x