High Positive End-Expiratory Pressure During High-Frequency Jet Ventilation Improves Oxygenation and Ventilation in Preterm Lambs

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The effect of positive-end expiratory pressure on oxygenation during high frequency jet ventilation and conventional mechanical ventilation in the rabbit model of acute lung injury

BACKGROUND The use of positive end expiratory pressure (PEEP) in patients with acute lung injury (ALI) improves arterial oxygenation by alleviating pulmonary shunting, helping the respiratory muscles to decrease the work of breathing, decreasing the rate of infiltrated and atelectatic tissues, and increasing functional residual capacity. In a rabbit model of saline lavage-induced ALI, we examin...

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Measurement of end-expiratory pressure during transtracheal high frequency jet ventilation for laryngoscopy.

An anaesthetic technique using high frequency jet ventilation has been proposed for direct laryngoscopy, but this may expose the patients to the risk of barotrauma. In order to assess this risk, we have measured end-expiratory airway pressure (EEP) through the injector using two three-way solenoid valves mounted in series. At the end of insufflation the first valve was switched off and the appa...

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A comparison of high-frequency jet ventilation and synchronised intermittent mandatory ventilation in preterm lambs.

PURPOSE Synchronised intermittent mandatory ventilation (SIMV) and high-frequency jet ventilation (HFJV) are accepted ventilatory strategies for treatment of respiratory distress syndrome (RDS) in preterm babies. We hypothesised that SIMV and HFJV both facilitate adequate oxygenation and ventilation but that HFJV is associated with less lung injury. RESULTS There were no differences in arteri...

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High - frequency Jet Ventilation

High-frequency jet ventilation (HFJV) describes a technique of mechanical respiratory support based on the delivery of gases under conditions of constant flow and low pressure. Among the benefits ascribed to HFJV are lessened interference with hemodynamic function and reduced danger of barofrauma. The theoretical and technical aspects of HFJV are discussed and the clinical experience with 39 pa...

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Heterogeneity in ventilation during positive end-expiratory pressure

geneity in ventilation be good’ [1] and the related article by Zhao and colleagues [2]. We agree with the comments that instead of incremental positive end-expiratory pressure (PEEP) levels, a decremented PEEP titration might be an attractive option for determining optimal PEEP [1,3]. However, we feel that physiological inhomogeneity in ventilation and perfusion related to the gravitational eff...

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ژورنال

عنوان ژورنال: Pediatric Research

سال: 2011

ISSN: 0031-3998,1530-0447

DOI: 10.1203/pdr.0b013e31820bbdf5