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Use of jet ventilation in thoracoscopic tracheo‐esophageal fistula repair—can both surgeons and anesthesiologists be happy?
Authors:Melissa Ehlers  Chad Pezzano  Laura Leduc  John Brooks  Plinio Silva  Helena Oechsner  Anica Crnkovic  Igor Galay  Farzana Afroze
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.
Keywords:jet ventilation  thoracoscopy  hypoxia  hypercarbia  esophageal atresia  tracheo‐esophageal fistula
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