Document Detail


Two-lung high-frequency jet ventilation as an alternative ventilation technique during transthoracic esophagectomy.
MedLine Citation:
PMID:  19246214     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Marc Buise; Jasper van Bommel; Michel van Genderen; Huug Tilanus; André van Zundert; Diederik Gommers
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2009-02-25
Journal Detail:
Title:  Journal of cardiothoracic and vascular anesthesia     Volume:  23     ISSN:  1532-8422     ISO Abbreviation:  J. Cardiothorac. Vasc. Anesth.     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2009-07-24     Completed Date:  2009-10-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9110208     Medline TA:  J Cardiothorac Vasc Anesth     Country:  United States    
Other Details:
Languages:  eng     Pagination:  509-12     Citation Subset:  IM    
Affiliation:
Department of Anesthesiology, Erasmus Medical Centre Rotterdam, Rotterdam, The Netherlands. marc.buise@cze.nl
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MeSH Terms
Descriptor/Qualifier:
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:
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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