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Continuous positive airway pressure and lung separation during cardiopulmonary bypass to facilitate congenital heart surgery via the right thorax in children
Authors:Mittnacht Alexander J C  Joashi Umesh  Nguyen Khanh  Chin Cynthia  Srivastava Shubhika  Hollinger Ingrid
Institution:Department of Anesthesiology, Mount Sinai Medical Center, New York, NY 10029, USA. alexander.mittnacht@msnyuhealth.org
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.
Keywords:cogenital heart disease  single lung ventilation  continuous positive airway pressure  cardiopulmonary bypass
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