Protective ventilation in ARDS: as soon as possible. An immediate use of HFOV.
OBJECTIVE
To report the immediate use of High-Frequency Oscillatory ventilation in an adult acute respiratory distress syndrome.


METHODS
Case report.


METHODS
Intensive care unit at the Military Teaching Hospital of Toulon.


METHODS
A 64-yr-old Caucasian male who developed acute respiratory distress syndrome in the course of severe falciparum malaria.


METHODS
Initial use of HFO to minimise ventilator-induced lung injury.


RESULTS
Rapid improvement of PaO2/fraction of inspired oxygen from 172 mmHg (NIV) to 310 mmHg with HFO. No ventilator-induced injury on CT scan after 5 days of invasive ventilation.


CONCLUSIONS
In contrast with previous studies, we successfully used lung protective ventilation with HFO immediately. Further studies, with immediate, rather than rescue use of HFO ventilation, are needed.
Goutorbe
Philippe Ph
PP
Military teaching hospital Sainte Anne ICU department, Toulon, France. goutorbephil@live.fr.
Asencio
Yves Y
YY
Bordes
Julien J
JJ
Montcriol
Ambroise A
AA
Prunet
Bertrand B
BB
Meaudre
Eric E
EE