Independent high-frequency oscillatory ventilation in the management of asymmetric acute lung injury

被引：2
|
作者：
Terragni, P
Rosboch, GL
Corno, E
Menaldo, E
Tealdi, A
Borasio, P
Davini, O
Viale, AG
Ranieri, VM
机构：
[1] Univ Turin, Dipartimento Discipline Med Chirurg, Sez Anestesiol & Rianimaz, Osped S Giovanni Battista, I-10126 Turin, Italy
[2] Univ Turin, Sez Chirurg Torac, Turin, Italy
[3] Osped S Giovanni Battista Molinette, Sez Radiol Urgenza, Turin, Italy
来源：
ANESTHESIA AND ANALGESIA | 2005年 / 100卷 / 06期
关键词：
D O I：
10.1213/01.ANE.0000151161.36330.CF
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
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.
引用
收藏
页码：1793 / 1796
页数：4
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