Does High-Frequency Ventilation Offer Benefits Over Conventional Ventilation in Adult Patients With Acute Respiratory Distress Syndrome?
نویسنده
چکیده
Introduction Pro: HFOV Offers Benefits Over Conventional Ventilation in Adult Patients With ARDS Principles of Lung-Protective Ventilation Small VT Improved Alveolar Recruitment Decreased Lung Inflammation Summary of the Pro-HFOV Position Con: HFOV Offers No Benefit Over Conventional Ventilation in Adult Patients With ARDS Strength of the Evidence Rescue Therapy Effect of HFOV on Inflammation Randomized Controlled Trials Cost of HFOV Need for Sedation and Paralysis Safety of HFOV Summary of the Con-HFOV Position Conclusions
منابع مشابه
Respiratory controversies in the critical care setting. Does high-frequency ventilation offer benefits over conventional ventilation in adult patients with acute respiratory distress syndrome?
High-frequency ventilation is the application of mechanical ventilation with a respiratory rate > 100 breaths/min. High-frequency oscillatory ventilation (HFOV) is the form of high-frequency ventilation most widely used in adult critical care. The principles of lung-protective ventilation have matured in parallel with the technology for HFOV. The 2 basic principles of lung-protective ventilatio...
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BACKGROUND Despite implementation of lung-protective ventilation strategy, acute respiratory distress syndrome is associated with significant mortality, which necessitates the evaluation of ventilatory modes other than conventional lung-protective strategy. This meta-analysis of the randomized controlled trials has been undertaken to know whether high-frequency oscillatory ventilation (HFOV) pr...
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متن کاملNew modalities of mechanical ventilation: high-frequency oscillatory ventilation and airway pressure release ventilation.
Management of acute lung injury (ALI) and the acute respiratory distress syndrome (ARDS) is largely supportive, with the use of mechanical ventilation being a central feature. Recent advances in the understanding of ALI/ARDS and mechanical ventilation have revealed that lung-protective ventilation strategies may attenuate ventilator-associated lung injury and improve patient morbidity/mortality...
متن کاملSystematic review of determinants of mortality in high frequency oscillatory ventilation in acute respiratory distress syndrome
INTRODUCTION Mechanical ventilation has been shown to cause lung injury and to have a significant impact on mortality in acute respiratory distress syndrome. Theoretically, high frequency oscillatory ventilation seems an ideal lung protective ventilation mode. This review evaluates determinants of mortality during use of high frequency oscillatory ventilation. METHODS PubMed was searched for ...
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تاریخ انتشار 2011