Permissive hypercapnia with high-frequency oscillatory ventilation and one-lung isolation for intraoperative management of lung resection in a patient with multiple bronchopleural fistulae.

Abstract:

:We report the use of high-frequency oscillatory ventilation in the operating room during repair of multiple bronchopleural fistulae in a 9-year-old boy. In addition, we used principles of permissive hypercapnia to further minimize barotrauma. There were no cardiovascular consequences due to either the high-frequency ventilation or the permissive hypercapnia. Our goals in employing this strategy were to minimize barotrauma, minimize gas flow through the fistulae, and optimize the surgical results.

journal_name

J Clin Anesth

authors

Tietjen CS,Simon BA,Helfaer MA

doi

10.1016/S0952-8180(96)00206-1

subject

Has Abstract

pub_date

1997-02-01 00:00:00

pages

69-73

issue

1

eissn

0952-8180

issn

1873-4529

pii

S0952-8180(96)00206-1

journal_volume

9

pub_type

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