In‐circuit high‐frequency jet ventilation to reduce organ motion in a child undergoing sarcoma ablation. Issue 1 (7th April 2021)

• Record Type: Journal Article
• Authors: Elgie, L. D.; McPherson, K.; Yeung, J.; Marshall, L.; Windsor, R.; Bandula, S.
• Is Part Of: Anaesthesia reports. Volume 9:Issue 1(2021)
• Page Start: 55
• Page End: 58
• Publication Date: 2021-04-07
• Subjects: alveolar gas exchange -- gas exchange -- jet ventilation -- paediatrics: airway management; Anesthesiology -- Periodicals; 617.9605
• DOI: 10.1002/anr3.12107
• Languages: English
• ISSNs: 2637-3726

Abstract

Summary: Patients with primary or metastatic solid tumours can be treated with minimally invasive image‐guided procedures as an alternative to surgical resection. Reducing organ motion during these procedures is crucial so that tumours can be accurately targeted and treatment delivered within a small margin, limiting potential damage to adjacent structures. As ventilation is the main cause of motion, there has been a shift from conventional ventilation towards the use of in‐circuit high‐frequency jet ventilation techniques for these procedures. We present the case of a 7‐year‐old who required computed tomography‐guided microwave ablation of a right lung metastatic nodule under general anaesthesia. The patient's lungs were ventilated with in‐circuit high‐frequency jet ventilation in order to provide optimum conditions for ablation. The treatment was successfully completed and she was discharged home the following day. High‐frequency jet ventilation is regularly used in our institution for adult computed tomography‐guided treatments and to our knowledge, this application has not been described yet in a child this young. Our experience suggests that this technique can be safely used in paediatric patients, though further investigation of the optimum parameters for in‐circuit high‐frequency jet ventilation in this population is warranted.