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

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Názov: Jet Ventilation Reduces Coronary Sinus Movement in Patients Undergoing Atrial Fibrillation Ablation: An Observational Crossover Study.
Autori: Maeyens, Cécile, Nokerman, Pierre, Casado-Arroyo, Ruben, Abugattas De Torres, Juan-Pablo, Alexander, Brenton, Engelman, Edgard, Schmartz, Denis, Tuna, Turgay
Zdroj: Journal of Personalized Medicine; Feb2023, Vol. 13 Issue 2, p186, 7p
Predmety: VENTILATION, HIGH-frequency ventilation (Therapy), ARTIFICIAL respiration, ATRIAL fibrillation, SCIENTIFIC observation, POSITIVE pressure ventilation, ATRIAL flutter
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. [ABSTRACT FROM AUTHOR]
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Databáza: Complementary Index
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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. [ABSTRACT FROM AUTHOR]
ISSN:20754426
DOI:10.3390/jpm13020186