High-Frequency Oscillatory Ventilation for Adult Patients With ARDS

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High-frequency oscillatory ventilation for adult patients with ARDS.

High-frequency oscillatory ventilation (HFOV) is characterized by the rapid delivery of small tidal volumes (Vts) of gas and the application of high mean airway pressures (mPaws). These characteristics make HFOV conceptually attractive as an ideal lung-protective ventilatory mode for the management of ARDS, as the high mPaws prevent cyclical derecruitment of the lung and the small Vts limit alv...

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High frequency oscillatory ventilation for adult ARDS: Is this the end of the road?

Sir, What is next for high frequency oscillatory ventilation (HFOV)? This very obvious question arises after negative results coming from two trials, namely the OSCAR trial (High-frequency oscillation for acute respiratory distress syndrome, 2013) [1] and the OSCILLATE trial (High-frequency oscillation in early acute respiratory distress syndrome, 2013) [2]. The results of the primary outcome o...

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High-frequency oscillatory ventilation for patients during exudative phase of severe ARDS.

BACKGROUND High frequency oscillatory ventilation (HFOV) is theoretically ideal for lung protective strategy ventilation (LPSV) in acute respiratory distress syndrome (ARDS). However, recent studies revealed unsatisfactory outcomes. The authors conducted a study to examine this phenomenon in patients with early phase of moderate to severe ARDS. OBJECTIVE To evaluate the effectiveness of HFOV ...

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High-frequency percussive ventilation improves oxygenation in patients with ARDS.

STUDY OBJECTIVES To evaluate changes in respiratory and hemodynamic function of patients with ARDS and requiring high-frequency percussive ventilation (HFPV) after failure of conventional ventilation (CV). DESIGN Retrospective case series. SETTING Surgical ICU (SICU) and medical ICU (MICU) of an academic county facility. MEASUREMENTS AND RESULTS Thirty-two consecutive patients with ARDS (...

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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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ژورنال

عنوان ژورنال: Chest

سال: 2007

ISSN: 0012-3692

DOI: 10.1378/chest.06-1549