title: Use of jet ventilation in thoracoscopic tracheo-esophageal fistula repair-can both surgeons and anesthesiologists be happy?
abstract: Laparoscopic and open thoracic surgery in the neonate typically results in hypercapnea and low cardiac output with often poor surgical visualization as the anesthesiologist attempts to correct the respiratory derangements usually seen. We describe three cases in which jet ventilation provided not only superior ventilation with a return to normocapnea but also ideal operating conditions. In addition, jet ventilation utilizes lower mean airway pressures which typically results in improved cardiac output.
authors.affiliation: Departments of Anesthesiology and Pediatrics, Albany Medical College, Albany, NY, USA.
authors.forename: Melissa
authors.initials: M
authors.lastname: Ehlers
authors.affiliation: Departments of Anesthesiology and Pediatrics, Albany Medical College, Albany, NY, USA.
authors.forename: Chad
authors.initials: C
authors.lastname: Pezzano
authors.affiliation: Departments of Anesthesiology and Pediatrics, Albany Medical College, Albany, NY, USA.
authors.forename: Laura
authors.initials: L
authors.lastname: Leduc
authors.affiliation: Departments of Anesthesiology and Pediatrics, Albany Medical College, Albany, NY, USA.
authors.forename: John
authors.initials: J
authors.lastname: Brooks
authors.affiliation: Departments of Anesthesiology and Pediatrics, Albany Medical College, Albany, NY, USA.
authors.forename: Plinio
authors.initials: P
authors.lastname: Silva
authors.affiliation: Departments of Anesthesiology and Pediatrics, Albany Medical College, Albany, NY, USA.
authors.forename: Helena
authors.initials: H
authors.lastname: Oechsner
authors.affiliation: Departments of Anesthesiology and Pediatrics, Albany Medical College, Albany, NY, USA.
authors.forename: Anica
authors.initials: A
authors.lastname: Crnkovic
authors.affiliation: Departments of Anesthesiology and Pediatrics, Albany Medical College, Albany, NY, USA.
authors.forename: Igor
authors.initials: I
authors.lastname: Galay
authors.affiliation: Departments of Anesthesiology and Pediatrics, Albany Medical College, Albany, NY, USA.
authors.forename: Farzana
authors.initials: F
authors.lastname: Afroze
mesh_terms: D005260:Female; D006611:High-Frequency Jet Ventilation; D006801:Humans; D007231:Infant, Newborn; D013906:Thoracoscopy; D014138:Tracheoesophageal Fistula / Q000601:surgery*; D016896:Treatment Outcome
keywords: esophageal atresia; hypercarbia; hypoxia; jet ventilation; thoracoscopy; tracheo-esophageal fistula