Comparison of High-Frequency Oscillatory Ventilation and Conventional Mechanical Ventilation in Pediatric Respiratory Failure

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Prospective, randomized comparison of high-frequency oscillatory ventilation and conventional mechanical ventilation in pediatric respiratory failure.

OBJECTIVE To compare the effectiveness of high-frequency oscillatory ventilation with conventional mechanical ventilation in pediatric patients with respiratory failure. SETTING Five tertiary care pediatric intensive care units. DESIGN A prospective, randomized, clinical study with crossover. PATIENTS Seventy patients with either diffuse alveolar disease and/or airleak syndrome were rando...

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high frequency oscillatory ventilation in severe respiratory failure

despite improvement of mechanical ventilation devices for infants, lung injury still causes morbidity and mortality in many cases. to determine the effect of high frequency oscillatory ventilation (hfov) in infants with severe respiratory failure, 10 neonates were evaluated prospectively. mean gestational age of these patients was 35 weeks and alveolar-arterial oxygen gradient (a-ado2) and the ...

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Comparison between conventional protective mechanical ventilation and high-frequency oscillatory ventilation associated with the prone position

OBJECTIVE To compare the effects of high-frequency oscillatory ventilation and conventional protective mechanical ventilation associated with the prone position on oxygenation, histology and pulmonary oxidative damage in an experimental model of acute lung injury. METHODS Forty-five rabbits with tracheostomy and vascular access were underwent mechanical ventilation. Acute lung injury was indu...

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High-frequency oscillatory ventilation in pediatric patients.

HFOV is a mode of ventilation that can achieve oxygenation and ventilation while maintaining maximal lung recruitment on the deflation limb of its pressure-volume curve. The primary theoretical advantages of HFOV over CMV in the management of acute lung injury are that HFOV allows adequate alveolar ventilation with minimal peak-trough pressure changes, provides lung recruitment, and avoids end-...

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comparison of high frequency positive pressure mechanical ventilation (hfppv) with conventional method in the treatment of neonatal respiratory failure

conclusions treatment of neonatal respiratory failure with high rate mechanical ventilation may reduce some complications. results intraventricular hemorrhage (ivh) and air leak (e.g. pneumothorax) were less in hfppv group than conventional group (p = 0.012 and p = 0.038). the mean time needed for mechanical ventilation was lower in hfppv group, but this difference was not statistically signifi...

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ژورنال

عنوان ژورنال: JAMA Pediatrics

سال: 2014

ISSN: 2168-6203

DOI: 10.1001/jamapediatrics.2013.4463