Factors Influencing Pulmonary Volumes and CO2 Elimination during High-frequency Jet Ventilation

Rouby, Jean-Jacques; Simonneau, G; Benhamou, D.; Sartene, R.; Sardnal, F.; Deriaz, H.; Duroux, Patrick; Viars, P.

doi:10.1097/00000542-198511000-00002

Cited by 119 publications

(81 citation statements)

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“…There are several reasons to suggest that the same level of PG resulted in similar increase in mean lung volume in the three modes of ventilation. First, we previously demonstrated that when HFJV is applied to patients with decreased lung compliance, the gradient between upper airway pressure and alveolar pressure is minimum (2,17,18). Second, patients with asthma or chronic obstructive pulmonary disease were excluded.…”

Section: Discussionmentioning

confidence: 99%

Intermittent Positive Pressure Ventilation with either Positive End-Expiratory Pressure or High Frequency Jet Ventilation (HFJV), or HFJV Alone in Human Acute Respiratory Failure

Brichant

Rouby

Viars

1986

Anesthesia & Analgesia

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Section: Discussionmentioning

confidence: 99%

Intermittent Positive Pressure Ventilation with either Positive End-Expiratory Pressure or High Frequency Jet Ventilation (HFJV), or HFJV Alone in Human Acute Respiratory Failure

Brichant

Rouby

Viars

1986

Anesthesia & Analgesia

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“…In general, CPAP application to the nondependent lung is useful for preventing arterial desaturation during OLV. On the other hand, HFJV has been shown to recruit alveoli through the PEEP effect it generates [7], and this method could reopen some lung areas and reduce the risk of arterial hypoxemia during OLV. Crimi et al [8] reported a dramatic improvement in arterial oxygenation and unchanged hemodynamics with the application of HFJV to the nondependent lung and ventilation of the dependent lung with intermittent positive pressure, in patients with one-lung injury.…”

Section: Discussionmentioning

confidence: 99%

Effect of high-frequency jet ventilation on oxygenation during one-lung ventilation in patients undergoing thoracic aneurysm surgery

et al. 2006

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“…Insbesondere bei kleinem Tubus-Innendurchmesser kann es durch den eingelegten Jetkatheter zur Blockade des Luftausstroms kommen, was zu einer plötzlichen Überblähung der Lunge und damit zu einer erheblichen Behinderung des chirurgischen Vorgehens führen kann. Hohe Beatmungsfrequenzen können die Hyperinflation begün-stigen [8], besonders gefährdet sind auch Asthmatiker [15]. Aus Sicherheitsgründen dürfen deshalb heute nur noch solche Jet-Generatoren verwendet werden, welche über einen automatischen Abschaltmechanismus verfügen.…”

Section: Beatmungssituation (In Beiden Fällen) Die Oben Liegende (Reunclassified

Einseitige High-Frequency-Jet-Ventilation als Ergänzung der Ein-Lungenbeatmung bei thoraxchirurgischen Eingriffen

Knüttgen

Zeidler

Vorweg³

et al. 2001

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We report two cases where surgery on the right lung had to be performed for resection of a malignoma. In both cases, function of the left lung was severely restricted. In the first patient, the volume on this side was reduced by around 50% as the result of a recently performed upper lobe resection. In the second patient, perfusion of the left lung accounted for only 18% of the total lung perfusion. On the basis of these changes we considered conventional one-lung ventilation impracticable and performed surgery using differential lung ventilation. The dependent (left) lung was ventilated by intermittent positive pressure ventilation (IPPV), where the tidal volume in the first patient had to be reduced to 200 ml because of high airway pressures. Ventilation of the non-dependent (right) side was performed simultaneously in both patients by means of high frequency jet ventilation (HFJV). Under this procedure arterial O2 saturation ranged from 96 to 100%, and arterial CO2 partial pressure was 45 mmHg. Surgery was not hindered by ventilation, the postoperative progress was also without complications. The case reports show that with the help of the ventilation regime described (operated side: HFJV, non-operated side: IPPV) lung surgery can be successfully performed on patients who are unsuitable for conventional one-lung ventilation for functional reasons.

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Factors Influencing Pulmonary Volumes and CO2 Elimination during High-frequency Jet Ventilation

Cited by 119 publications

References 0 publications

Intermittent Positive Pressure Ventilation with either Positive End-Expiratory Pressure or High Frequency Jet Ventilation (HFJV), or HFJV Alone in Human Acute Respiratory Failure

Intermittent Positive Pressure Ventilation with either Positive End-Expiratory Pressure or High Frequency Jet Ventilation (HFJV), or HFJV Alone in Human Acute Respiratory Failure

Effect of high-frequency jet ventilation on oxygenation during one-lung ventilation in patients undergoing thoracic aneurysm surgery

Einseitige High-Frequency-Jet-Ventilation als Ergänzung der Ein-Lungenbeatmung bei thoraxchirurgischen Eingriffen

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