Independent high-frequency oscillatory ventilation in the management of asymmetric acute lung injury.
We present a case of independent lung ventilation in an adult with asymmetric acute lung injury. We applied a conventional protective ventilatory strategy to the more homogeneously infiltrated lung and high-frequency oscillatory ventilation to the almost totally collapsed lung, because a conventional protective strategy exposed this lung to plateau pressure more than 30 cm H2O, whereas high-frequency oscillatory ventilation provided sufficient gas exchange at safer pressure levels. Analysis of a lung computed tomography scan was used to evaluate the efficacy of the ventilatory strategy.
Terragni
Pierpaolo
P
*Dipartimento di Discipline Medico-Chirurgiche, Sezione di Anestesia e Rianimazione, Università di Torino, Ospedale S. Giovanni Battista-Molinette, Torino, Italy; †Sezione di Chirurgia Toracica, Università di Torino, Ospedale S. Luigi, Torino, Italy; and ‡Servizio di Radiologia d'urgenza, Ospedale S. Giovanni Battista-Molinette, Torino, Italy.
Rosboch
Giulio L
GL
Corno
Eleonora
E
Menaldo
Eleonora
E
Tealdi
Andrea
A
Borasio
Piero
P
Davini
Ottavio
O
Viale
Aurelio G
AG
Ranieri
V Marco
VM
D000368:Aged; D001021:Aortic Valve / Q000601:surgery; D001026:Coronary Artery Bypass; D019918:Heart Valve Prosthesis Implantation; D006612:High-Frequency Ventilation; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging / Q000601:surgery; D055370:Lung Injury; D008175:Lung Neoplasms / Q000601:surgery; D008297:Male; D011175:Positive-Pressure Respiration; D015656:Respiratory Mechanics; D014057:Tomography, X-Ray Computed