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.
Independent high-frequency oscillatory ventilation in the management of asymmetric acute lung injury / Terragni, Pierpaolo; Rosboch, Gl; Corno, E; Menaldo, E; Tealdi, A; Borasio, P; Davini, O; Viale, Ag; Ranieri, V.. - In: ANESTHESIA AND ANALGESIA. - ISSN 0003-2999. - 100:6(2005), pp. 1793-1796. [10.1213/01.ANE.0000151161.36330.CF]
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Titolo: | Independent high-frequency oscillatory ventilation in the management of asymmetric acute lung injury | |
Autori: | ||
Data di pubblicazione: | 2005 | |
Rivista: | ||
Citazione: | Independent high-frequency oscillatory ventilation in the management of asymmetric acute lung injury / Terragni, Pierpaolo; Rosboch, Gl; Corno, E; Menaldo, E; Tealdi, A; Borasio, P; Davini, O; Viale, Ag; Ranieri, V.. - In: ANESTHESIA AND ANALGESIA. - ISSN 0003-2999. - 100:6(2005), pp. 1793-1796. [10.1213/01.ANE.0000151161.36330.CF] | |
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. | |
Handle: | http://hdl.handle.net/11388/45776 | |
Appare nelle tipologie: | 1.1 Articolo in rivista |