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Dynamics (Pembroke, Ont.) · Jan 2001
Case ReportsThe use of high-frequency oscillatory ventilation in adult ARDS patients.
- P Hynes-Gay, N Chu, C Murray, and M Nicholson.
- Critical Care Unit, Mount Sinai Hospital, Toronto.
- Dynamics. 2001 Jan 1;12(1):12-6.
AbstractCurrent ventilatory objectives for adults with ARDS include maximizing gas exchange while minimizing lung injury. To this end, high-frequency oscillatory ventilation (HFOV), a mechanical ventilation strategy that simultaneously avoids end-inspiratory alveolar overdistension and end-expiratory alveolar collapse, has been recommended. HFOV meets these criteria from a theoretical perspective, however, is without the benefit of a prospective randomized clinical trial of CMV versus HFOV to demonstrate that effect. This article provides an overview of high-frequency oscillation, followed by an illustration of how it was applied in the case of a 43-year-old patient who developed respiratory failure 24 hours post-Caesarean section.
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