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Ann Thorac Surg 1982;34:564-571
© 1982 The Society of Thoracic Surgeons

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Articles

One-Lung High-Frequency Ventilation for Tracheoplasty and Bronchoplasty: A New Technique

Departments of Anesthesiology and Cardiovascular-Thoracic Surgery, Rush Medical College, Rush-Presbyterian-St. Luke's Medical Center, Chicago, IL.

^* Address reprint requests to Dr. El-Baz, Department of Anesthesiology, Rush-Presbyterian-St. Luke's Medical Center, 1753 W Congress Pkwy, Chicago, IL 60612.

Major airway surgery requires the maintenance of adequate ventilation and oxygenation during the period of resection and reconstruction, as well as an unobstructed surgical field and optimal access to the airway's circumference. High-frequency positive-pressure ventilation (HFPPV) at a frequency of 1 Hz (60 breaths/min) or more, along with a small tidal volume (50 to 250 cc), provides adequate ventilation and oxygenation with minimal impairment of pulmonic and systemic circulatory functions.

We have used HFPPV of one lung through a 2 mm internal diameter catheter in six patients (three undergoing right sleeve pneumonectomies, two having carinal tumor resections, and one having tracheal resection). High-frequency positive-pressure ventilation of the left lung provided continuous and adequate ventilation and oxygenation during the period of resection and reconstruction of the airways, while the small catheter permitted unimpaired visualization and adequate access to the operative site.

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