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Background: Methods of airway management depend on the location and growth pattern of the obstructive mass, as well as the degree of airway obstruction and surgical approach. The advantages of high-frequency jet ventilation (HFJV) include preserved gas exchange, decreased ventilation/perfusion mismatch and risk of atelectasis due to reduced auto-positive end-expiratory pressure, and minimal hemodynamic changes (1-2). Our aim is to share our ventilation strategy during an emergency surgery for repairing tracheal laceration. Case: A 54-years-old female patient who was diagnosed with esophageal squamous cell carcinoma. She had total esophagectomy, total gastrectomy, and transverse colon interposition surgery. She developed shortness of breath and low saturation levels on the sixth postoperative day. After CT scan revealed a defect located right posterolateral part of trachea 8 mm superior to carina the patient was admitted for emergency surgery for repair. She was intubated with a double lumen tube for one-lung ventilation. But the patient's airway pressures increased and saturation decreased to 60% and she was re-intubated with a single lumen tube. At this time, it was observed that the laceration reached 2-3 cm diameter. Despite our ventilation efforts, the saturation decreased to 25%, and vasopressor infusion was started. We decided to use cardiopulmonary bypass (CPB) to proceed with the surgery. When the patient's blood gas analysis show PaCO2 was 109 mmHg and PaO2 pressure was 23 mmHg we decided to apply high-frequency jet ventilation until cardiopulmonary bypass therapy was established. HFJV was applied by inserting the catheter to the left main bronchus through the endotracheal tube while simultaneously ventilating. With jet ventilation, the patient's PaO2 value increased to 60.4 mmHg and PaCO2 values began to decrease gradually. After switching to CPB the primary tracheal repair was completed, the patient was transported to the intensive care unit. Conclusion: HFJV has been used as an auxiliary ventilation technique to conventional ventilation in endolaryngeal surgeries and can be considered as a good option. However, the team should keep in mind that the procedure itself may have complications. If adequate oxygenation cannot be achieved, jet ventilation should be considered in tracheal surgery. [ABSTRACT FROM AUTHOR]

Copyright of Turkish Journal of Intensive Care is the property of Galenos Yayinevi Tic. LTD. STI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Archives Medical Review Journal / Arsiv Kaynak Tarama Dergisi is the property of Cukurova University, Faculty of Medicine and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

We aimed to investigate the anesthetic management of percutaneous closure of atrial and ventricular septal defects (ASD/VSD) in pediatric patients. A retrospective review of the anesthetic data of 351 patients who underwent transcatheter closure of ASD/VSD was conducted. The mean age was 8.42 ± 5.71 years (4 months-18 years). VSD closure was performed in 52 patients and the remaining 299 had a procedure for ASD closure. All patients were premedicated with midazolam. All procedures were performed under general anesthesia in the catheterization laboratory. After anesthesia induction with sevoflurane or intravenous anesthetics, all patients were intubated. The procedure was completed without any complications in 98.3% of patients. Many anesthetic drugs have been used for pediatric cardiac catheterization, but it cannot be concluded whether there is an ideal anesthetic method. Regardless of the method, the anesthesiologist must consider not only the need for adequate analgesia and immobility but also that for hemodynamic stability during the procedure. [ABSTRACT FROM AUTHOR]

We aimed to investigate the anesthetic management of percutaneous closure of atrial and ventricular septai defects (ASD/VSD) in pediatric patients. A retrospective review of the anesthetic data of 351 patients who underwent transcatheter closure of ASD/VSD was conducted. The mean age was 8.42 ± 5.71 years (4 months-18 years). VSD closure was performed in 52 patients and the remaining 299 had a procedure for ASD closure. All patients were premedicated with midazolam. All procedures were performed under general anesthesia in the catheterization laboratory. After anesthesia induction with sevoflurane or intravenous anesthetics, all patients were intubated. The procedure was completed without any complications in 98.3% of patients. Many anesthetic drugs have been used for pediatric cardiac catheterization, but it cannot be concluded whether there is an ideal anesthetic method. Regardless of the method, the anesthesiologist must consider not only the need for adequate analgesia and immobility but also that for hemodynamic stability during the procedure. [ABSTRACT FROM AUTHOR]