High-frequency jet ventilation in the postoperative period: a review of 100 patients.
Crit Care Med
; 12(9): 782-7, 1984 Sep.
Article
en En
| MEDLINE
| ID: mdl-6380940
One hundred patients were ventilated with high-frequency jet ventilation (HFJV) during the initial 24-h postoperative period in the surgical and neurosurgical ICUs. Eighty-three were successfully weaned, 2 could not be ventilated adequately with HFJV, and 15 with criteria of acute respiratory failure received HFJV for up to 21 days. A HFJV delivery system consisted of jetting and entrainment systems, both with their own humidification designs. An initial mode of HFJV using 35 psi, jet rate 100 cycle/min and inspiratory time 30% provided a mean PaCO2 of 34 torr in 38 patients studied. A comparison of HFJV without and with a positive end-expiratory pressure (PEEP) of 10 cm H2O indicated a decrease in mean Qsp/Qt from 17% to 13% with decrease in cardiac index (CI) from 3.39 to 2.81 L/min X m2; this effect is similar to PEEP applied to a conventional ventilator. Weaning proved to be simple and comfortable for the patient. In the light of our experience, we believe that HFJV is both feasible and practical for the postoperative patient and should be introduced into routine clinical use.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Respiración Artificial
Límite:
Adolescent
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Adult
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Aged
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Child
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Crit Care Med
Año:
1984
Tipo del documento:
Article
Pais de publicación:
Estados Unidos