High-frequency oscillatory ventilation versus conventional ventilation for acute respiratory distress syndrome

Sud, Sachin; Sud, Maneesh; Friedrich, Jan O.; Wunsch, Hannah; Meade, Maureen O.; Ferguson, Niall D.; Adhikari, Neill K. J.

doi:10.1002/14651858.cd004085.pub4

Cited by 43 publications

(37 citation statements)

References 90 publications

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“…36 However, it may be best to avoid high-frequency oscillatory ventilation in patients with COVID-19 due to concerns of aerosol generation. 19,37,38 High-frequency oscillatory ventilation has not been used amid this outbreak in Wuhan. Pressure-regulated volume control ventilation, although increasingly popular in the perioperative arena, has not gained momentum in ICUs due to the lack of evidence for its outcome benefits.…”

Section: Ventilation Managementmentioning

confidence: 99%

Intubation and Ventilation amid the COVID-19 Outbreak

et al. 2020

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The COVID-19 outbreak has led to 80,409 diagnosed cases and 3,012 deaths in mainland China based on the data released on March 4, 2020. Approximately 3.2% of patients with COVID-19 required intubation and invasive ventilation at some point in the disease course. Providing best practices regarding intubation and ventilation for an overwhelming number of patients with COVID-19 amid an enhanced risk of cross-infection is a daunting undertaking. The authors presented the experience of caring for the critically ill patients with COVID-19 in Wuhan. It is extremely important to follow strict self-protection precautions. Timely, but not premature, intubation is crucial to counter a progressively enlarging oxygen debt despite high-flow oxygen therapy and bilevel positive airway pressure ventilation. Thorough preparation, satisfactory preoxygenation, modified rapid sequence induction, and rapid intubation using a video laryngoscope are widely used intubation strategies in Wuhan. Lung-protective ventilation, prone position ventilation, and adequate sedation and analgesia are essential components of ventilation management.

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Section: Ventilation Managementmentioning

confidence: 99%

Intubation and Ventilation amid the COVID-19 Outbreak

et al. 2020

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“…4,5 Additionally, a review of HFOV use found no reduction in mortality or ventilator free days when compared to conventional ventilation. 6 Despite this data, HFOV continues to be used in the setting of severe respiratory failure in children.…”

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confidence: 99%

High frequency oscillatory ventilation in a cohort of children with respiratory failure

Stewart

Yehya

Lin

et al. 2018

Pediatric Pulmonology

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In this cohort of patients, use of HFOV for pediatric respiratory failure demonstrated a mortality rate in keeping with published data. The presence of an immunocompromised condition was a risk factor for mortality in severe respiratory failure with SCT recipients having the lowest survival rate. The OI at 24 h was the best predictor of mortality, especially in immunocompromised and SCT patients.

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“…In a recent systematic review included 10 randomized controlled trials studying the use of HFO versus CMV in moderate and severe ARDS in adult patients, there was no significant difference in hospital or 30-day mortality between both groups 33 .…”

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confidence: 99%

High frequency oscillatory ventilation versus conventional mechanical ventilation in pediatric acute respiratory distress syndrome: A randomized controlled study

et al. 2017

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Although the HFO mode appeared to be a safe mode with a significant better oxygenation improvement (after the first 24 hours) and fewer crossover rates, it failed to show differences as regards mortality or LOS when compared to the CMV adopting protective lung strategy. In PARDS, HFO had a superior advantage in improving oxygenation, yet with no significant mortality improvement, as multi-organ dysfunction syndrome (MODS) was the most common cause of death in our study and not refractory hypoxemia which is the main problem in PARDS; highlighting that mortality in PARDS is multi-factorial and may not depend only on how fast oxygenation improves.

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High-frequency oscillatory ventilation versus conventional ventilation for acute respiratory distress syndrome

Cited by 43 publications

References 90 publications

Intubation and Ventilation amid the COVID-19 Outbreak

Intubation and Ventilation amid the COVID-19 Outbreak

High frequency oscillatory ventilation in a cohort of children with respiratory failure

High frequency oscillatory ventilation versus conventional mechanical ventilation in pediatric acute respiratory distress syndrome: A randomized controlled study

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