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Biphasic Cuirass Ventilation

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The Effects of Positive and Negative Extrathoracic Pressure <strong>Ventilation</strong><br />

on Pulmonary Blood Flow<br />

after the Total Cavopulmonary Shunt Procedure<br />

D.J. Penny, Z. Hayek and A.N. Redington<br />

Department of Paediatric Cardiology, Royal Brompton and National Heart<br />

Hospital, London<br />

"Pulmonary blood flow patterns were studied during the application of varying<br />

extrathoracic pressure in 2 patients after total cavopulmonary anastomosis. The<br />

application of negative extrathoracic pressure [by use of the Hayek<br />

Oscillator] was associated with large increases in pulmonary<br />

blood flow, while positive extrathoracic pressure caused<br />

retrograde flow away from the lungs. These preliminary<br />

observations suggest that negative extrathoracic pressure<br />

may be useful as a means of respiratory support in patients<br />

after right heart bypass procedures."<br />

International Journal of Cardiology, 30 (1991) 128-130

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