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 P, ROSBOCH GL, CORNO E, MENALDO E, TEALDI A, BORASIO P, et al. (2005). Independent high-frequency oscillatory ventilation in the management of asymmetric acute lung injury. ANESTHESIA AND ANALGESIA, 100(6), 1793-1796 [10.1213/01.ANE.0000151161.36330.CF].
Independent high-frequency oscillatory ventilation in the management of asymmetric acute lung injury
RANIERI V
2005
Abstract
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.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
