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

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.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:13

Enthalten in:

Journal of personalized medicine - 13(2023), 2 vom: 20. Jan.

Sprache:

Englisch

Beteiligte Personen:

Maeyens, Cécile [VerfasserIn]
Nokerman, Pierre [VerfasserIn]
Casado-Arroyo, Ruben [VerfasserIn]
Abugattas De Torres, Juan-Pablo [VerfasserIn]
Alexander, Brenton [VerfasserIn]
Engelman, Edgard [VerfasserIn]
Schmartz, Denis [VerfasserIn]
Tuna, Turgay [VerfasserIn]

Links:

Volltext

Themen:

Atrial fibrillation ablation
High-frequency jet ventilation
Intermittent positive pressure ventilation
Journal Article

Anmerkungen:

Date Revised 01.03.2023

published: Electronic

Citation Status PubMed-not-MEDLINE

doi:

10.3390/jpm13020186

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM353425532