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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
Author(s) -
MITTNACHT ALEXANDER J.C.,
JOASHI UMESH,
NGUYEN KHANH,
CHIN CYNTHIA,
SRIVASTAVA SHUBHIKA,
HOLLINGER INGRID
Publication year - 2007
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1111/j.1460-9592.2007.02195.x
Subject(s) - medicine , cardiopulmonary bypass , thoracotomy , airway , lung , continuous positive airway pressure , thorax (insect anatomy) , anesthesia , cardiology , surgery , anatomy , obstructive sleep apnea
Summary 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.