Murthy BV, Petros AJ. High-frequency oscillatory ventilation combined with intermittent mandatory ventilation in critically ill neonates and infants.
Acta Anaesthesiol Scand 1996;
40:679-83. [PMID:
8836260 DOI:
10.1111/j.1399-6576.1996.tb04509.x]
[Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
We have evaluated the high-frequency oscillatory ventilation (HFOV) combined with intermittent mandatory ventilation (IMV) in critically ill neonates and infants using the Babylog 8000 SW 4.0. We used HFOV combined with IMV as a rescue mode in 10 neonates and infants aged 1 day to 17 months, who were receiving maximal conventional ventilation for severe respiratory failure. There was a significant reduction in inspired oxygen requirement when starting HFOV combined with intermittent mandatory ventilation (IMV), from a baseline mean of 0.90 (CI95 0.79-1.01) to 0.55 (CI95 0.40-0.71) at 6h and 0.44 (CI95 0.37-0.52) at 12h. There was also an overall improvement in gas exchange with complete haemodynamic stability. These data suggest that HFOV-IMV mode offers significant improvement as a rescue mode for neonates and infants with severe respiratory failure.
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