| Two-lung high-frequency jet ventilation as an alternative ventilation technique during transthoracic esophagectomy. | |
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MedLine Citation:
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PMID: 19246214 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: The 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. DESIGN: A retrospective study. SETTINGS: A single-center study in a university hospital. PARTICIPANTS: The authors analyzed the data of patients who had undergone an elective esophagectomy by transthoracic esophagectomy between January 2000 and December 2006. INTERVENTION: The 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 RESULTS: Eighty-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). CONCLUSIONS: High-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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Authors:
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Marc Buise; Jasper van Bommel; Michel van Genderen; Huug Tilanus; André van Zundert; Diederik Gommers |
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Publication Detail:
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Type: Comparative Study; Journal Article Date: 2009-02-25 |
Journal Detail:
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Title: Journal of cardiothoracic and vascular anesthesia Volume: 23 ISSN: 1532-8422 ISO Abbreviation: J. Cardiothorac. Vasc. Anesth. Publication Date: 2009 Aug |
Date Detail:
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Created Date: 2009-07-24 Completed Date: 2009-10-05 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9110208 Medline TA: J Cardiothorac Vasc Anesth Country: United States |
Other Details:
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Languages: eng Pagination: 509-12 Citation Subset: IM |
Affiliation:
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Department of Anesthesiology, Erasmus Medical Centre Rotterdam, Rotterdam, The Netherlands. marc.buise@cze.nl |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Blood Loss, Surgical / physiopathology, prevention & control Esophagectomy* Female Fluid Therapy High-Frequency Jet Ventilation / adverse effects, methods* Humans Isotonic Solutions / therapeutic use Male Middle Aged Oxygen / blood Pneumonia / epidemiology, etiology Postoperative Complications / epidemiology, etiology Respiration, Artificial / adverse effects, methods* Retrospective Studies Supine Position |
| Chemical | |
Reg. No./Substance:
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0/Isotonic Solutions; 0/crystalloid solutions; 7782-44-7/Oxygen |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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