Status asthmaticus treated by high-frequency oscillatory ventilation

Duval, Elisabeth L.I.M.; Vught, A. J. van

doi:10.1002/1099-0496(200010)30:4<350::aid-ppul13>3.0.co;2-2

Cited by 38 publications

(24 citation statements)

References 12 publications

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“…Changes in intra-thoracic pressure have been extensively investigated in the Fontan procedure, where high-frequency ventilation has been found to be associated with an increase of up to 25% in cardiac output and led to halve PVR and mean Paw [14]. Although HFOV is known to be effective in settings leading to hypoxemia, the use has been described in reports of asthma and severe bronchiolitis to treat respiratory acidosis [26,27]. According to Babik et al .…”

Section: Discussionmentioning

confidence: 99%

High-frequency oscillatory ventilation and short-term outcome in neonates and infants undergoing cardiac surgery: a propensity score analysis

et al. 2011

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IntroductionExperience with high-frequency oscillatory ventilation (HFOV) after congenital cardiac surgery is limited despite evidence about reduction in pulmonary vascular resistance after the Fontan procedure. HFOV is recommended in adults and children with acute respiratory distress syndrome. The aim of the present study was to assess associations between commencement of HFOV on the day of surgery and length of mechanical ventilation, length of Intensive Care Unit (ICU) stay and mortality in neonates and infants with respiratory distress following cardiac surgery.MethodsA logistic regression model was used to develop a propensity score, which accounted for the probability of being switched from conventional mechanical ventilation (CMV) to HFOV on the day of surgery. It included baseline characteristics, type of procedure and postoperative variables, and was used to match each patient with HFOV with a control patient, in whom CMV was used exclusively. Length of mechanical ventilation, ICU stay and mortality rates were compared in the matched set.ResultsOverall, 3,549 neonates and infants underwent cardiac surgery from January 2001 through June 2010, 120 patients were switched to HFOV and matched with 120 controls. After adjustment for the delay to sternal closure, duration of renal replacement therapy, occurrence of pulmonary hypertension and year of surgery, the probability of successful weaning over time and the probability of ICU delivery over time were significantly higher in patients with HFOV, adjusted hazard ratios and 95% confidence intervals: 1.63, 1.17 to 2.26 (P = 0.004). and 1.65, 95% confidence intervals: 1.20 to 2.28 (P = 0.002) respectively. No association was found with mortality.ConclusionsWhen commenced on the day of surgery in neonates and infants with respiratory distress following cardiac surgery, HFOV was associated with shorter lengths of mechanical ventilation and ICU stay than CMV.

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Section: Discussionmentioning

confidence: 99%

High-frequency oscillatory ventilation and short-term outcome in neonates and infants undergoing cardiac surgery: a propensity score analysis

et al. 2011

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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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“…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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Status asthmaticus treated by high-frequency oscillatory ventilation

Cited by 38 publications

References 12 publications

High-frequency oscillatory ventilation and short-term outcome in neonates and infants undergoing cardiac surgery: a propensity score analysis

High-frequency oscillatory ventilation and short-term outcome in neonates and infants undergoing cardiac surgery: a propensity score analysis

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

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