1. Successful treatment of a patient with ARDS after pneumonectomy using high-frequency oscillatory ventilation
- Author
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Brambrink, A. M., Brachlow, J., Weiler, N., Eberle, B., Elich, D., Joost, T., Koller, M., Huth, R., and Heinrichs, W.
- Subjects
Acute respiratory distress syndrome -- Risk factors ,Acute respiratory distress syndrome -- Care and treatment ,Artificial respiration -- Methods ,Artificial respiration -- Health aspects ,Health care industry - Abstract
Byline: A. M. Brambrink (1), J. Brachlow (1), N. Weiler (1), B. Eberle (1), D. Elich (1), T. Joost (1), M. Koller (1), R. Huth (2), W. Heinrichs (1) Keywords: Key words High-frequency oscillatory ventilation; HFOV; Mechanical ventilation; Adults; Pneumonectomy; Postoperative period; Pneumonia; ARDS; Oxygenation Abstract: High frequency oscillatory ventilation (HFOV) was used in a patient who developed the acute respiratory distress syndrome 5 days following a right pneumonectomy for bronchogenic carcinoma. When conventional pressure-controlled ventilation failed to maintain adequate oxygenation, HFOV dramatically improved oxygenation within the first few hours of therapy. Pulmonary function and gas exchange recovered during a 10-day period of HFOV. No negative side effects were observed. Early use of HFOV may be a beneficial ventilation strategy for adults with acute pulmonary failure, even in the postoperative period after lung resection. Author Affiliation: (1) Department of Anaesthesiology, Johannes Gutenberg-Universitat, Langenbeckstrasse 1, D-55131 Mainz, Germany Tel.: + 49 (61 31) 17 67 55 Fax: + 49 (61 31) 17 66 49 email: brambrin@mail.uni-mainz.de, DE (2) Department of Paediatrics, Johannes Gutenberg-University, D-55131 Mainz, Germany, DE Article note: Received: 3 February 1999/Final revision received: 2 June 1999/Accepted: 1 July 1999
- Published
- 1999