title: Continuous positive airway pressure and lung separation during cardiopulmonary bypass to facilitate congenital heart surgery via the right thorax in children.
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.
authors.affiliation: Department of Anesthesiology, Mount Sinai Medical Center, New York, NY 10029, USA. alexander.mittnacht@msnyuhealth.org
authors.forename: Alexander J C
authors.initials: AJ
authors.lastname: Mittnacht
authors.forename: Umesh
authors.initials: U
authors.lastname: Joashi
authors.forename: Khanh
authors.initials: K
authors.lastname: Nguyen
authors.forename: Cynthia
authors.initials: C
authors.lastname: Chin
authors.forename: Shubhika
authors.initials: S
authors.lastname: Srivastava
authors.forename: Ingrid
authors.initials: I
authors.lastname: Hollinger
mesh_terms: 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