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High-frequency ventilation for acute traumatic and nontraumatic lung injury
Critical Care volume 17, Article number: P120 (2013)
ARDS is commonly observed in trauma patients. In some instances the severity of the clinical presentation is such that all conventional ventilatory support mode fails. In this setting, high-frequency oscillatory ventilation (HFOV) was considered mostly a rescue therapy.
Fifteen adult patients admitted to our ICU for acute traumatic and nontraumatic lung injury were submitted to HFOV when conventional mechanical ventilation failed.
Clinical and demographic data are shown in Table 1. Figure 1 shows the trend of gas parameters during the recovery. At baseline PaO2 was 94 ± 28 mmHg; after 6 hours of HFOV: 135 ± 41 mmHg, P < 0.01. At baseline PaO2/FiO2 was 182 ± 97 mmHg; after 6 hours of HFOV: 264 ± 101 mmHg, P < 0.01. The benefits are maintained when returned to conventional ventilation.
HFOV may therefore be anticipated to improve end-organ perfusion and gas exchange; it should be considered in severe traumatic and nontraumatic respiratory failure .
BMJ. 2010, 340: c2327. 10.1136/bmj.c2327
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Varutti, R., Bigai, R., Fiorillo, M. et al. High-frequency ventilation for acute traumatic and nontraumatic lung injury. Crit Care 17, P120 (2013). https://doi.org/10.1186/cc12058
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- Mechanical Ventilation
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- Demographic Data