Jet Ventilation Reduces Coronary Sinus Movement in Patients Undergoing Atrial Fibrillation Ablation: An Observational Crossover Study.

Autor:	Maeyens C; Department of Anesthesiology, H.U.B.-Hôpital Erasme, Université Libre de Bruxelles, 1070 Brussels, Belgium., Nokerman P; Department of Anesthesiology, H.U.B.-Hôpital Erasme, Université Libre de Bruxelles, 1070 Brussels, Belgium., Casado-Arroyo R; Department of Cardiology, H.U.B.-Hôpital Erasme, Université Libre de Bruxelles, 1070 Brussels, Belgium., Abugattas De Torres JP; Department of Cardiology, H.U.B.-Hôpital Erasme, Université Libre de Bruxelles, 1070 Brussels, Belgium., Alexander B; School of Medicine, University of California, La Jolla, San Diego, CA 92093, USA., Engelman E; EW Data Analysis, 1180 Brussels, Belgium., Schmartz D; Department of Anesthesiology, H.U.B.-Hôpital Erasme, Université Libre de Bruxelles, 1070 Brussels, Belgium., Tuna T; Department of Anesthesiology, H.U.B.-Hôpital Erasme, Université Libre de Bruxelles, 1070 Brussels, Belgium.
Jazyk:	angličtina
Zdroj:	Journal of personalized medicine [J Pers Med] 2023 Jan 20; Vol. 13 (2). Date of Electronic Publication: 2023 Jan 20.
DOI:	10.3390/jpm13020186
Abstrakt:	Background: One of the reasons that high-frequency jet ventilation (HFJV) is used is due to the near immobility of thoracic structures. However, no study has quantified the movements of cardiac structures during HFJV compared with normal mechanical ventilation. Methods: After ethical approval and written informed consent, we included 21 patients scheduled for atrial fibrillation ablation in this prospective crossover study. Each patient was ventilated with both normal mechanical ventilation and HFJV. During each ventilation mode, displacements of the cardiac structure were measured by the EnSite Precision mapping system using a catheter placed in the coronary sinus. Results: The median [Q1-Q4] displacement was 2.0 [0.6-2.8] mm during HFJV and 10.5 [9.3-13.0] mm during conventional ventilation ( p < 0.000001). Conclusion: This study quantifies the minimal movement of cardiac structures during HFJV compared to standard mechanical ventilation.
Databáze:	MEDLINE
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