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

Alexander J C Mittnacht; Umesh Joashi; Khanh Nguyen; Cynthia Chin; Shubhika Srivastava; Ingrid Hollinger

doi:10.1111/j.1460-9592.2007.02195.x

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

Paediatr Anaesth. 2007 Jul;17(7):693-6. doi: 10.1111/j.1460-9592.2007.02195.x.

Authors

Alexander J C Mittnacht¹, Umesh Joashi, Khanh Nguyen, Cynthia Chin, Shubhika Srivastava, Ingrid Hollinger

Affiliation

¹ Department of Anesthesiology, Mount Sinai Medical Center, New York, NY 10029, USA. alexander.mittnacht@msnyuhealth.org

PMID: 17564653
DOI: 10.1111/j.1460-9592.2007.02195.x

Abstract

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.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Adult
Anesthesia
Blood Pressure / drug effects
Blood Pressure / physiology
Cardiac Surgical Procedures*
Cardiopulmonary Bypass*
Catheterization, Central Venous
Child
Child, Preschool
Continuous Positive Airway Pressure*
Female
Heart Defects, Congenital / surgery*
Humans
Infant
Lung / physiology*
Male
Monitoring, Intraoperative
Positive-Pressure Respiration
Thoracic Surgical Procedures*