High-frequency oscillatory ventilation in RSV bronchiolitis patients

Duval, Elisabeth L.I.M.; P, Leroy; Gemke, R. J. B. J.; Vught, A. J. van

doi:10.1053/rmed.1999.0578

Cited by 32 publications

(13 citation statements)

References 29 publications

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“…The use of HFOV in children with SAD is limited to a few case reports and is usually avoided because of the assumption of an associated increased risk of dynamic air trapping with this condition [19,20]. The reason for converting to HFOV in patients with SAD was primarily hypercapnia.…”

Section: Discussionmentioning

confidence: 99%

High-frequency oscillatory ventilation in children: a single-center experience of 53 cases

et al. 2005

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Section: Discussionmentioning

confidence: 99%

High-frequency oscillatory ventilation in children: a single-center experience of 53 cases

et al. 2005

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“…In addition to the risk of morbidity and mortality, an ECMO program requires substantial resources, expertise, and surgical support. Although a case report and small case series (16, 19, 20) describe the use of HFOV in obstructive airway disease, the use of HFOV in patients with severe obstruction to airflow has the potential to worsen air trapping and hyperinflation and may be considered a contraindication for use (21). …”

Section: Discussionmentioning

confidence: 99%

High Frequency Jet Ventilation in Respiratory Failure Secondary to Respiratory Syncytial Virus Infection: A Case Series

et al. 2016

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ObjectiveTo describe the utility of high frequency jet ventilation (HFJV) as a rescue therapy in patients with respiratory failure secondary to respiratory syncytial virus (RSV) that was refractory to conventional mechanical ventilation (CMV).DesignDescriptive study by retrospective review.SettingPediatric intensive care unit at a tertiary care children’s hospital.PatientsInfants on mechanical ventilation for respiratory failure due to RSV.InterventionsUse of HFJV.Main ResultsEleven patients were placed on HFJV. There was sustained improvement in ventilation on HFJV with a mean decrease in PCO2 of 9 mmHg at 24 h and 11 mmHg at 72 h. There were no significant changes in oxygenation by oxygenation index. No patients required extracorporeal support or suffered pneumothorax, pneumomediastinum, or subcutaneous emphysema. Ten out of 11 (91%) patients survived to discharge from the hospital.ConclusionHigh frequency jet ventilation may represent an alternative therapy for RSV-induced respiratory failure that is refractory to CMV.

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“…Several modes of respiratory support have been used in the management of bronchiolitis-associated respiratory failure. Intermittent positive pressure ventilation (IPPV),45 continuous positive airway pressure (CPAP),46 negative extrathoracic pressure,47 high frequency oscillation ventilation48 and extracorporeal membrane oxygenation49 have all been used successfully, but none in the context of a randomised controlled trial. A helium/oxygen mixture (heliox) has been used in infants with bronchiolitis-related respiratory failure to see if it might improve clinical scores or reduce the need for mechanical ventilation 50 51.…”

Section: Management Of Respiratory Failurementioning

confidence: 99%

The treatment of bronchiolitis

Yanney

Vyas

2008

Archives of Disease in Childhood

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Bronchiolitis is the commonest reason for hospital admission in infancy and the most frequent cause of acute respiratory failure in children admitted to paediatric intensive care units in the UK and North America. The respiratory syncytial virus accounts for most cases of bronchiolitis, however, new virus isolation techniques have led to the discovery of previously unrecognised viruses, including the human metapneumovirus and bocavirus which also play a significant role. The main developments in bronchiolitis management in recent years relate to the use of immunoprophylaxis; a number of other therapies such as the use of heliox are currently being investigated. Supportive therapy remains the mainstay of management with limited or no evidence of benefit for most other pharmacological treatments. This article summarises the current understanding of the different bronchiolitis phenotypes, with a brief description of outcomes and a review of the evidence for the various therapeutic interventions.

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High-frequency oscillatory ventilation in RSV bronchiolitis patients

Cited by 32 publications

References 29 publications

High-frequency oscillatory ventilation in children: a single-center experience of 53 cases

High-frequency oscillatory ventilation in children: a single-center experience of 53 cases

High Frequency Jet Ventilation in Respiratory Failure Secondary to Respiratory Syncytial Virus Infection: A Case Series

The treatment of bronchiolitis

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