Hostname: page-component-586b7cd67f-tf8b9 Total loading time: 0 Render date: 2024-11-22T22:58:17.754Z Has data issue: false hasContentIssue false
  • English
  • Français

Ventilation with external high frequency oscillation around a negative baseline increases pulmonary blood flow after the Fontan operation

Published online by Cambridge University Press:  19 August 2008

Daniel J. Penny ,
Zamir Hayek ,
Peter Rawle ,
Michael L. Rigby  and
Andrew N. Redington
Daniel J. Penny
Affiliation:
Department of Paediatric Cardiology, The Royal Brompton and National Heart Hospital, London
Zamir Hayek
Affiliation:
Department of Paediatric Cardiology, The Royal Brompton and National Heart Hospital, London
Peter Rawle
Affiliation:
Department of Paediatric Cardiology, The Royal Brompton and National Heart Hospital, London
Michael L. Rigby
Affiliation:
Department of Paediatric Cardiology, The Royal Brompton and National Heart Hospital, London
Andrew N. Redington*
Affiliation:
Department of Paediatric Cardiology, The Royal Brompton and National Heart Hospital, London
*
Dr. A.N.Redington, The Deparement of Paediatric Cardiology, The Royal Brompton and National Heart Hospital, Sydney Street, London, SW3 6NP, United Kingdom. Tel. 44-71-352 8121; Fax. 44-71-352 8544.
Get access Rights & Permissions [Opens in a new window]

Abstract

In this prospective study, pulmonary blood flow was measured using transesophageal Doppler echocardiography to assess whether ventilation by means of external high frequency oscillation around a negative pressure baseline can increase pulmonary blood flow, compared to intermittent positive pressure ventilation, in five patients after the Fontan operation. Pulmonary blood flow was measured when patients were ventilated by means of intermittent positive pressure ventilation and again during equivalent negative pressure ventilation using the external oscillatory technique. When compared to that with intermittent positive pressure ventilation, ventilation using external high frequency oscillation increased pulmonary blood flow by 116 ±61.5% (p=0.013). These results show that ventilation using an external oscillatory device with a mean negative chamber pressure may provide hemodynamic advantages in patients requiring assisted ventilation after the Fontan operation.

Type
Original Articles
Information
Cardiology in the Young , Volume 2 , Issue 3 , July 1992 , pp. 277 - 280
Copyright
Copyright © Cambridge University Press 1992

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Fontan, F, Baudet, E. Surgical repair of tricuspid atresia. Thorax 1971; 26: 240–248.CrossRefGoogle ScholarPubMed
2. Williams, DB, Kiernan, PD, Metke, MP, Marsh, HM, Danielson, GK. Hemodynamic response to positive end-expiratory pressure following right atrium-pulmonary artery bypass (Fontan procedure). J Thorac Cardiovasc Surg 1984; 87: 856–861.CrossRefGoogle ScholarPubMed
3. Penny, DJ, Hayek, Z, Redington, AN. The effects of positive and negative extrathoracic pressure ventilation on pulmonary blood flow patterns in patients after total cavopulrnonary shunt. lnt J Cardiol 1991; 30: 128–130.CrossRefGoogle ScholarPubMed
4. Hayek, Z, Schonfeld, T. External high frequency oscillation around negative baseline-preliminary trials in humans. In: Aochi, O, Amaha, K, Takeshita, H. (eds). Intensive and Critical Care Medicine. Proceedings of the 5th World Congress on Intensive and Critical Care Medicine, Kyoto. Excerpta Medica, Amsterdam, 1990, pp 761–762.Google Scholar
5. Redington, AN, Penny, DJ, Shinebourne, EA. Pulmonary blood flow patterns after total cavopulmonary shunt operation. Br Heart J 1991; 65: 213–217.CrossRefGoogle Scholar
6. Penny, DJ, Redington, AN. Doppler echocardiographic evaluation of pulmonary blood flow after the Fontan operation: The role of the lungs. Brit Heart J 1991; 66: 372–374.CrossRefGoogle ScholarPubMed
7. Adams, JA, Osiovitch, H, Suguihara, C, Goldberg, R, Martinez, O, Devia, C, Hehre, D, Bancalari, E. Comparison ofmechanical ventilation using PEEP versus continuous negative extrathoracic pressure: Hemodynamic effects in piglets with group B streptococcal sepsis. Pediatr Res 1989; 25: 300A.Google Scholar
8. Lockhat, D, Langleben, D, Feleke, G, Partyka, R,Zidulka, A. Hemodynamic differences between continual positive and negative pressure ventilation. Am Rev Rep Dis 1988; 137: 292–296.Google Scholar