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. DESIGN: Case report. SETTING: Intensive care unit at the Military Teaching Hospital of Toulon. PATIENT: A 64-yr-old Caucasian male who developed acute respiratory distres...

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Detalles Bibliográficos
Autores principales: Goutorbe, Philippe Ph, Asencio, Yves Y, Bordes, Julien J, Montcriol, Ambroise A, Prunet, Bertrand B, Meaudre, Eric E
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2008
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2535777/
https://www.ncbi.nlm.nih.gov/pubmed/18721463
http://dx.doi.org/10.1186/1757-1626-1-124
Descripción
Sumario:OBJECTIVE: To report the immediate use of High-Frequency Oscillatory ventilation in an adult acute respiratory distress syndrome. DESIGN: Case report. SETTING: Intensive care unit at the Military Teaching Hospital of Toulon. PATIENT: A 64-yr-old Caucasian male who developed acute respiratory distress syndrome in the course of severe falciparum malaria. INTERVENTION: Initial use of HFO to minimise ventilator-induced lung injury. MEASUREMENT AND MAIN 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. CONCLUSION: 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.

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