Ehlers Melissa, Pezzano Chad, Leduc Laura, Brooks John, Silva Plinio, Oechsner Helena, Crnkovic Anica, Galay Igor, Afroze Farzana
Departments of Anesthesiology and Pediatrics, Albany Medical College, Albany, NY, USA.
Paediatr Anaesth. 2015 Aug;25(8):860-862. doi: 10.1111/pan.12641. Epub 2015 Mar 30.
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.
