{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,2]],"date-time":"2023-10-02T22:05:31Z","timestamp":1696284331935},"reference-count":19,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2013,8,19]],"date-time":"2013-08-19T00:00:00Z","timestamp":1376870400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatric Anesthesia"],"published-print":{"date-parts":[[2014,2]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To evaluate the efficacy and safety of a spontaneous ventilation anesthesia technique with insufflation of oxygen and volatile agent through a double\u2010lumen central venous catheter (<jats:styled-content style=\"fixed-case\">DLCVC<\/jats:styled-content>) in pediatric patients undergoing suspension laryngoscopic surgery for laryngeal papillomatosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Thirty\u2010six pediatric patients with laryngeal papillomatosis undergoing suspension laryngoscopic surgery were anesthetized with oxygen and volatile anesthetic insufflation while spontaneously breathing. Anesthesia was induced by inhalation of 8% sevoflurane in oxygen by mask. Atropine, dexamethasone, lidocaine, and midazolam were administered intravenously. The tip of a 7Fr <jats:styled-content style=\"fixed-case\">DLCVC<\/jats:styled-content> was inserted below the glottis after placement of the laryngoscope and establishing suspension. Anesthesia was maintained with insufflation of 4\u20136% sevoflurane and oxygen with a total fresh gas flow of 6\u00a0l\u00b7min<jats:sup>\u22121<\/jats:sup> through the 14G (larger lumen) of the <jats:styled-content style=\"fixed-case\">DLCVC<\/jats:styled-content>. Endtidal carbon dioxide tension (PetCO<jats:sub>2<\/jats:sub>) was monitored using the other lumen of the <jats:styled-content style=\"fixed-case\">DLCVC<\/jats:styled-content>, which was connected to the <jats:styled-content style=\"fixed-case\">CO<\/jats:styled-content><jats:sub>2<\/jats:sub> sampling line. Duration of the procedure as well as total anesthesia time was recorded. Electrocardiography (<jats:styled-content style=\"fixed-case\">ECG<\/jats:styled-content>), heart rate (<jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content>), mean arterial pressure (<jats:styled-content style=\"fixed-case\">MAP<\/jats:styled-content>), oxygen saturation (SpO<jats:sub>2<\/jats:sub>), and PetCO<jats:sub>2<\/jats:sub> were also monitored. Arterial blood was sampled for blood gas analysis including pH, PaO<jats:sub>2<\/jats:sub>, PaCO<jats:sub>2<\/jats:sub>, and actual base excess (<jats:styled-content style=\"fixed-case\">ABE<\/jats:styled-content>). Complications, including intraoperative patient movement, hypoxemia (SpO<jats:sub>2<\/jats:sub>\u00a0&lt;\u00a095% during oxygen insufflation), nausea, vomiting, bronchospasm, and arrhythmias, were recorded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There was a significant increase in PetCO<jats:sub>2<\/jats:sub> and PaCO<jats:sub>2<\/jats:sub> (<jats:italic>P<\/jats:italic> values &lt;0.05) as well as a decrease in <jats:styled-content style=\"fixed-case\">ABE<\/jats:styled-content>, pH, and PaO<jats:sub>2<\/jats:sub> (<jats:italic>P<\/jats:italic> values &lt;0.05) in samples collected before and after surgery. <jats:styled-content style=\"fixed-case\">MAP<\/jats:styled-content>,<jats:styled-content style=\"fixed-case\"> HR<\/jats:styled-content>, and SpO<jats:sub>2<\/jats:sub> after surgery were not significantly different from after induction values (<jats:italic>P<\/jats:italic> values &gt;0.05). During surgery, SpO<jats:sub>2<\/jats:sub>\u00a0&lt;\u00a095% in three cases and body movements in three cases were observed. No patient had any other of the complications previously described. Furthermore, no postsurgical endotracheal intubation was needed in any patient.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>After establishing an adequate depth of anesthesia, a spontaneous ventilation anesthesia technique with insufflation of oxygen and volatile agent through a <jats:styled-content style=\"fixed-case\">DLCVC<\/jats:styled-content> is feasible in pediatric patients undergoing suspension laryngoscopic surgery for laryngeal papillomatosis.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pan.12253","type":"journal-article","created":{"date-parts":[[2013,8,19]],"date-time":"2013-08-19T13:24:42Z","timestamp":1376918682000},"page":"157-163","source":"Crossref","is-referenced-by-count":8,"title":["The use of a double\u2010lumen central venous catheter for airway management in pediatric patients undergoing laryngeal papillomatosis surgery"],"prefix":"10.1111","volume":"24","author":[{"given":"Zhi\u2010rui","family":"Zhu","sequence":"first","affiliation":[{"name":"Department of Anesthesiology The Children's Hospital School of Medicine Zhejiang University Hangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhi\u2010yong","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology The Children's Hospital School of Medicine Zhejiang University Hangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yi\u2010lei","family":"Jiang","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology The Children's Hospital School of Medicine Zhejiang University Hangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Li\u2010li","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology The Second Affiliated Hospital of Zhejiang Chinese Medical University Hangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick M.","family":"McQuillan","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Penn State Milton S. 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