Two-lung high-frequency jet ventilation as an alternative ventilation technique during transthoracic esophagectomy.
作者： Marc Buise , Jasper van Bommel , Michel van Genderen , Huug Tilanus , André van Zundert
DOI: 10.1053/J.JVCA.2008.12.025
关键词:
摘要: Objective: The aim of this study was to evaluate two-lung high-frequency jet ventilation during esophagectomy and the influence on pulmonary complications as compared with one-lung ventilation. Design: A retrospective study. Settings: single-center in a university hospital. Participants: authors analyzed data patients who had undergone an elective by transthoracic between January 2000 December 2006. Intervention: cervicothoracoabdominal subtotal via right-sided thoracotomy. Patients were intubated single-lumen endotracheal tube, oxygen insufflation catheter placed inside tube connected ventilator. Measurements Main Results: Eighty-seven enrolled, 30 57 1-lung Both groups adequately oxygenated, but group higher PaCO2 (42.75 ± 7.5 mm Hg) that for (35.25 8.25 (p < 0.05). There no differences postoperative respiratory 2 groups. Mean blood loss significantly lower (1,243 787 mL). Conclusions: High-frequency lungs, using is safe adequate technique use esophagectomy. incidence reduced perioperative led decreased need fluid replacement.
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SM Dresner, PJ Lamb, J Shenfine, N Hayes, SM Griffin, Prognostic significance of peri-operative blood transfusion following radical resection for oesophageal carcinoma Ejso. ,vol. 26, pp. 492- 497 ,(2000) , 10.1053/EJSO.1999.0929
Jonathan L. Benumof, One-Lung Ventilation and Hypoxic Pulmonary Vasoconstriction Anesthesia & Analgesia. ,vol. 64, pp. 821???833- 833 ,(1985) , 10.1213/00000539-198508000-00014
T. A. Crozier, M. Sydow, J. R. Siewert, U. Braun, Postoperative pulmonary complication rate and long-term changes in respiratory function following esophagectomy with esophagogastrostomy. Acta Anaesthesiologica Scandinavica. ,vol. 36, pp. 10- 15 ,(1992) , 10.1111/J.1399-6576.1992.TB03414.X
S. L. Tsui, T. W. Lee, Andrew S. H. Chan, J. Ronald Lo, High-frequency jet ventilation in the anesthetic management of a patient with tracheoesophageal fistula complicating carcinoma of the esophagus. Anesthesia & Analgesia. ,vol. 72, pp. 835- 838 ,(1991) , 10.1213/00000539-199106000-00023
Simon Law, Kam-Ho Wong, Ka-Fai Kwok, Kent-Man Chu, John Wong, Predictive factors for postoperative pulmonary complications and mortality after esophagectomy for cancer. Annals of Surgery. ,vol. 240, pp. 791- 800 ,(2004) , 10.1097/01.SLA.0000143123.24556.1C
M. Nevin, J.P. Van Besouw, C.W. Williams, J.R. Pepper, A comparative study of conventional versus high-frequency jet ventilation with relation to the incidence of postoperative morbidity in thoracic surgery. The Annals of Thoracic Surgery. ,vol. 44, pp. 625- 627 ,(1987) , 10.1016/S0003-4975(10)62149-2
Mitsuo Tachibana, Shun’ichi Abe, Hideki Tabara, Hiroshi Yoshimura, Hiroshi Matsuura, Naofumi Nagasue, Teruhisa Nakamura, One-lung or two-lung ventilation during transthoracic oesophagectomy? Canadian Journal of Anaesthesia-journal Canadien D Anesthesie. ,vol. 41, pp. 710- 715 ,(1994) , 10.1007/BF03015626
Joseph M Neal, Robert T Wilcox, Hugh W Allen, Donald E Low, Near-total esophagectomy: the influence of standardized multimodal management and intraoperative fluid restriction, Regional Anesthesia and Pain Medicine. ,vol. 28, pp. 328- 334 ,(2003) , 10.1016/S1098-7339(03)00197-4
Gerhard Brodner, Esther Pogatzki, Hugo Van Aken, Hartmut Buerkle, Christiane Goeters, Carola Schulzki, Hubert Nottberg, Norbert Mertes, A multimodal approach to control postoperative pathophysiology and rehabilitation in patients undergoing abdominothoracic esophagectomy. Anesthesia & Analgesia. ,vol. 86, pp. 228- 234 ,(1998) , 10.1213/00000539-199802000-00002
K.M. Sherry, Editorial II British Journal of Anaesthesia. ,vol. 86, pp. 611- 613 ,(2001) , 10.1093/BJA/86.5.611