scholarly journals High-frequency oscillatory ventilation for trauma patients with acute respiratory distress syndrome who fail conventional mechanical ventilation

Critical Care ◽  
2007 ◽  
Vol 11 (Suppl 2) ◽  
pp. P197
Author(s):  
F Eng ◽  
M Ferri ◽  
S Rizoli ◽  
L Tremblay
Keyword(s):  
Mechanical Ventilation ◽  
Acute Respiratory Distress Syndrome ◽  
Respiratory Distress Syndrome ◽  
Respiratory Distress ◽  
High Frequency ◽  
Distress Syndrome ◽  
Conventional Mechanical Ventilation ◽  
High Frequency Oscillatory Ventilation ◽  
Trauma Patients ◽  
High Frequency Oscillatory

High-Frequency Oscillatory Ventilation as a Rescue Therapy for Adult Trauma Patients

2009 ◽  
Vol 18 (2) ◽  
pp. 144-148 ◽  
Author(s):  
Steven Briggs ◽  
Claudia E. Goettler ◽  
Paul J. Schenarts ◽  
Mark A. Newell ◽  
Scott G. Sagraves ◽  
...  
Keyword(s):  
Acute Respiratory Distress Syndrome ◽  
Respiratory Distress Syndrome ◽  
Respiratory Distress ◽  
High Frequency ◽  
Distress Syndrome ◽  
High Frequency Oscillatory Ventilation ◽  
Trauma Patients ◽  
Ventilation Mode ◽  
Oscillatory Ventilation ◽  
High Frequency Oscillatory

Background High-frequency oscillatory ventilation is an alternative ventilation mode that improves oxygenation in trauma patients in whom conventional ventilation strategies have been unsuccessful. Objective To evaluate the effect of high-frequency oscillatory ventilation on oxygenation, survival, and parameters predictive of survival in trauma patients. Methods A retrospective case series of 24 adult patients admitted to the trauma intensive care unit at a level I trauma center between November 2001 and July 2005 and treated with high-frequency oscillatory ventilation. Survivors and nonsurvivors were compared for mechanism and severity of injury, oxygenation parameters related to high-frequency oscillatory ventilation, and hospital course. Results Of the 8577 patients admitted during the study period, acute respiratory distress syndrome developed in 103 (1%). Of those 103 patients, 24 (23%) were treated with high-frequency oscillatory ventilation. Most of the patients treated with high-frequency oscillatory ventilation had sustained blunt trauma (79%). Oxygenation parameters improved significantly with high-frequency oscillatory ventilation in all patients, regardless of survival. Of the 24 patients treated with this ventilation mode, 15 (62%) survived. Survival did not correlate with improved oxygenation parameters but with the number of failed organ systems and injury severity. Conclusion Although high-frequency oscillatory ventilation improves oxygenation, severity of traumatic injury and organ failure, not respiratory parameters, are predictors of survival. High-frequency oscillatory ventilation should be considered for pulmonary rescue of severely injured patients with acute respiratory distress syndrome.

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