[Effectiveness of high frequency jet ventilation introduced immediately after cardiac surgery].
It is important to establish the lung protective strategy strictly for serious respiratory failure after cardiac surgery, because the hemodynamic state is unstable. High frequency jet ventilation (HFJV) was introduced in 5 patients with respiratory failure after cardiac surgery. Two had been diagnosed with acute aortic dissection and 3 with angina pectorlis. Off pump coronary artery bypass grafting was performed in 2 patients. Hemodynamic variables during HFJV were stable, and the duration of HFJV was 9 to 45 hours. Oxygenations improved immediately by the introduction of HFJV in all patients, and no adverse effect was recognized. Therefore, use of HFJV immediately after cardiac surgery might be an effective respiratory therapy of choice for patients with acute lung injury.
Morishita
A
A
Department of Cardiovascular Surgery, Numata Neurosurgery Heart-Disease Hospital, Numata, Japan.
Hoshino
K
K
Katahira
S
S
Tomioka
H
H
D000368:Aged; D000369:Aged, 80 and over; D006348:Cardiac Surgical Procedures; D005260:Female; D006611:High-Frequency Jet Ventilation; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012131:Respiratory Insufficiency / Q000628:therapy*