Intraoperative High-Frequency Jet Ventilation Is Equivalent to Conventional Ventilation During Patent Ductus Arteriosus Ligation

Mackenzie Noonan; Joseph W Turek; John M Dagle; Steven J McElroy

doi:10.1177/2150135117717974

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Intraoperative High-Frequency Jet Ventilation Is Equivalent to Conventional Ventilation During Patent Ductus Arteriosus Ligation

Journal article

Peer reviewed

Intraoperative High-Frequency Jet Ventilation Is Equivalent to Conventional Ventilation During Patent Ductus Arteriosus Ligation

Mackenzie Noonan, Joseph W Turek, John M Dagle and Steven J McElroy

World journal for pediatric & congenital heart surgery, Vol.8(5), pp.570-574

09/2017

DOI: 10.1177/2150135117717974

PMID: 28901229

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Abstract

Patent ductus arteriosus (PDA) treatment is typically pharmacologic, but if unsuccessful, surgical ligation is commonly performed. High-frequency jet ventilation (HFJV) is used at the University of Iowa Stead Family Children's Hospital for extremely low birth weight infants. Historically, neonates requiring PDA ligation were temporarily transferred to conventional ventilation (CV) prior to surgery. The objective of this study was to determine whether conversion was necessary. This retrospective cohort analysis examined outcomes following PDA ligation from 2014 to 2016 at the University of Iowa's Stead Family Children's Hospital. Infants who were transferred to CV prior to surgery and returned to HFJV postprocedure are referred to as the CV cohort. The HFJV cohort infants remained on HFJV throughout. We found no significant increases in morbidity or mortality with the use of intraoperative HFJV and potentially show some benefit through greater reduction in serum CO . Mode of ventilation during PDA ligation does not affect surgical morbidity or mortality or short-term clinical outcomes. Conversion to CV from HFJV is not necessary.

High-Frequency Jet Ventilation - methods

Ductus Arteriosus, Patent - surgery

Ligation

Follow-Up Studies

Intraoperative Care - methods

Humans

Female

Male

Cardiac Surgical Procedures - methods

Retrospective Studies

Respiration, Artificial

Infant, Newborn

Details

Title: Subtitle: Intraoperative High-Frequency Jet Ventilation Is Equivalent to Conventional Ventilation During Patent Ductus Arteriosus Ligation
Creators: Mackenzie Noonan - 1 Carver College of Medicine, University of Iowa, Iowa City, IA, USA
Joseph W Turek - 3 Department of Surgery, University of Iowa, Iowa City, IA, USA
John M Dagle - 2 Stead Family Department of Pediatrics, University of Iowa, Iowa City, IA, USA
Steven J McElroy - 2 Stead Family Department of Pediatrics, University of Iowa, Iowa City, IA, USA
Resource Type: Journal article
Publication Details: World journal for pediatric & congenital heart surgery, Vol.8(5), pp.570-574
Publisher: United States
DOI: 10.1177/2150135117717974
PMID: 28901229
ISSN: 2150-1351
eISSN: 2150-136X
Grant note: DOI: 10.13039/100000062, name: National Institute of Diabetes and Digestive and Kidney Diseases
Language: English
Date published: 09/2017
Academic Unit: Microbiology and Immunology; Stead Family Department of Pediatrics; Epidemiology; Biochemistry and Molecular Biology; Neonatology
Record Identifier: 9984024522402771

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