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Noninvasive high frequency jet ventilation for patients with cardiogenic pulmonary oedema
Critical Care volume 8, Article number: P11 (2004)
Background and goal of study
During past years one can observe an increase in the use of noninvasive ventilation (NIV) fuelled by advances in technology and clinical trials evaluating its use . Acute respiratory failure (ARF) due to cardiogenic pulmonary oedema (CPO) is typical indication for NIV.
Materials and methods
In our preliminary study we studied eight patients with ARF due to CPO ventilated noninvasivelly with high frequency jet ventilation (HFJV). A Paravent PAT E jet ventilator was used (FiO2 = 0.6, f = 2 Hz). PaO2, PaCO2, pH, saturation were measured and dyspnoea was estimated before and every 30 min of ventilation.
Results and discussions
PaO2 values before and during HFJV are shown in Fig. 1. Mean ventilation time was 4 hours. In 1/8 patients HFJV was ineffective; the patient (no. 8) was intubated and ventilated conventionally.
In patients with ARF due to CPO noninvasive HFJV is: (1) effective in reversing life-threatening hypoxemia and respiratory acidosis; (2) well tolerated by patients.
Rabatin JT: Mayo Clin Proc. 1999, 74: 817-820.
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Lazowski, T., Opolski, G. & Andruszkiewicz, P. Noninvasive high frequency jet ventilation for patients with cardiogenic pulmonary oedema. Crit Care 8, P11 (2004). https://doi.org/10.1186/cc2478
- Public Health
- Clinical Trial
- Emergency Medicine
- Respiratory Failure
- Pulmonary Oedema