Use of High Frequency Percussion Artificial Lung Ventilation in a Premature Newborn With Unilateral Lung Emphysema

Abstract

High frequency percussion ventilation (HFPV) is a specific variant of high frequency ventilation in which high-velocity flow oscillations are delivered to the patient's airway in combination with convection breathing cycles through a special open circuit. The aerodynamic effects implemented in this device make it possible to achieve uniform ventilation of both the atelectatic zones of the lungs and the overinflated areas. Authors discuss the mechanisms of aerial exchange in HFPV and present a clinical case observation of its use in a premature newborn with a severe respiratory disorder complicated by the development of left-sided diffuse emphysema. The anamnestic data, dynamics of ventilation support parameters and respiratory saturation index, radiological and clinical dynamics of the patient’s condition, as well as the method for managing the post-extubation period using the non-invasive HFPV technique that the Authors believe to be an effective protective respiratory stabilization technology with the possibility of using neonatal intensive care in practice, are also demonstrated and described.

120 years of Morozov Children’s City Clinical Hospital: clinic, science, education

“…В работе отделений реанимации и интенсивной терапии широко используются современные респираторные стратегии, включая высокочастотную перкуссионную ИВЛ, также успешно применяющуюся у пациентов Юбилеи с бронхоэктазами [49][50][51]. Специалистами МДГКБ успешно выполнена процедура EXIT (EX-utero Intrapartum Treatment -процедура выхода, или внематочного интранатального лечения) [52].…”