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High Frequency Jet Ventilation in Respiratory Failure Secondary to Respiratory Syncytial Virus Infection: A Case Series.
Valentine, Kevin M; Sarnaik, Ajit A; Sandhu, Hitesh S; Sarnaik, Ashok P.
Afiliación
  • Valentine KM; Section of Critical Care, Department of Pediatrics, Riley Hospital for Children, Indiana University , Indianapolis, IN , USA.
  • Sarnaik AA; Department of Pediatrics, Critical Care Division, Children's Hospital of Michigan, Wayne State University , Detroit, MI , USA.
  • Sandhu HS; Department of Pediatrics, Critical Care Division, Le Bonheur Children's Hospital, University of Tennessee , Memphis, TN , USA.
  • Sarnaik AP; Department of Pediatrics, Critical Care Division, Children's Hospital of Michigan, Wayne State University , Detroit, MI , USA.
Front Pediatr ; 4: 92, 2016.
Article en En | MEDLINE | ID: mdl-27626028
OBJECTIVE: To describe the utility of high frequency jet ventilation (HFJV) as a rescue therapy in patients with respiratory failure secondary to respiratory syncytial virus (RSV) that was refractory to conventional mechanical ventilation (CMV). DESIGN: Descriptive study by retrospective review. SETTING: Pediatric intensive care unit at a tertiary care children's hospital. PATIENTS: Infants on mechanical ventilation for respiratory failure due to RSV. INTERVENTIONS: Use of HFJV. MAIN RESULTS: Eleven patients were placed on HFJV. There was sustained improvement in ventilation on HFJV with a mean decrease in PCO2 of 9 mmHg at 24 h and 11 mmHg at 72 h. There were no significant changes in oxygenation by oxygenation index. No patients required extracorporeal support or suffered pneumothorax, pneumomediastinum, or subcutaneous emphysema. Ten out of 11 (91%) patients survived to discharge from the hospital. CONCLUSION: High frequency jet ventilation may represent an alternative therapy for RSV-induced respiratory failure that is refractory to CMV.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Front Pediatr Año: 2016 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Front Pediatr Año: 2016 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Suiza