Continuous positive airway pressure and lung separation during cardiopulmonary bypass to facilitate congenital heart surgery via the right thorax in children.
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.
Mittnacht
Alexander J C
AJ
Department of Anesthesiology, Mount Sinai Medical Center, New York, NY 10029, USA. alexander.mittnacht@msnyuhealth.org
Joashi
Umesh
U
Nguyen
Khanh
K
Chin
Cynthia
C
Srivastava
Shubhika
S
Hollinger
Ingrid
I
D000328:Adult; D000758:Anesthesia; D001794:Blood Pressure / Q000187:drug effects / Q000502:physiology; D006348:Cardiac Surgical Procedures; D002315:Cardiopulmonary Bypass; D002405:Catheterization, Central Venous; D002648:Child; D002675:Child, Preschool; D045422:Continuous Positive Airway Pressure; D005260:Female; D006330:Heart Defects, Congenital / Q000601:surgery*; D006801:Humans; D007223:Infant; D008168:Lung / Q000502:physiology*; D008297:Male; D016343:Monitoring, Intraoperative; D011175:Positive-Pressure Respiration; D019616:Thoracic Surgical Procedures