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]