Successful treatment of a patient with ARDS after pneumonectomy using high-frequency oscillatory ventilation.
High frequency oscillatory ventilation (HFOV) was used in a patient who developed the acute respiratory distress syndrome 5 days following a right pneumonectomy for bronchogenic carcinoma. When conventional pressure-controlled ventilation failed to maintain adequate oxygenation, HFOV dramatically improved oxygenation within the first few hours of therapy. Pulmonary function and gas exchange recovered during a 10-day period of HFOV. No negative side effects were observed. Early use of HFOV may be a beneficial ventilation strategy for adults with acute pulmonary failure, even in the postoperative period after lung resection.
Brambrink
A M
AM
Department of Anaesthesiology, Johannes Gutenberg-Universität, Langenbeckstrasse 1, D-55131 Mainz, Germany. brambrin@mail.uni-mainz.de
Brachlow
J
J
Weiler
N
N
Eberle
B
B
Elich
D
D
Joost
T
T
Koller
M
M
Huth
R
R
Heinrichs
W
W
D000403:Airway Resistance; D001784:Blood Gas Analysis; D002283:Carcinoma, Bronchogenic / Q000601:surgery; D003422:Critical Care / Q000379:methods; D004630:Emergencies; D006612:High-Frequency Ventilation / Q000379:methods*; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy / Q000009:adverse effects*; D011182:Postoperative Care / Q000379:methods; D011659:Pulmonary Gas Exchange; D011859:Radiography; D012121:Respiration, Artificial / Q000379:methods; D012128:Respiratory Distress Syndrome / Q000000981:diagnostic imaging / Q000209:etiology* / Q000378:metabolism / Q000503:physiopathology / Q000628:therapy*