High frequency oscillatory ventilation in burn patients with the acute respiratory distress syndrome

Burns : Journal of the International Society for Burn Injuries
Robert CartottoTerry Smith

Abstract

High frequency oscillatory ventilation (HFOV) improves gas exchange while providing lung protective effects during the ventilation of patients with the acute respiratory distress syndrome (ARDS). The purpose of this study was to review our experience with HFOV in adult burn patients with oxygenation failure secondary to ARDS. Retrospective cohort review of all burn patients treated with HFOV at a regional adult burn center. All values are reported as the mean +/- standard deviation (S.D.). HFOV was used on 28 occasions in 25 patients (age 44 +/- 16 years, %TBSA burns 40 +/- 15, and a 28% incidence of inhalation injury) who had severe oxygenation failure from ARDS (PaO2/FiO2 ratio 98 +/- 26, and oxygenation index (OI) (FiO2 x 100 x mean airway pressure/PaO2) 27 +/- 10) following 4.8 +/- 4.4 days of conventional mechanical ventilation (CMV). After switching from CMV to HFOV, there were significant improvements in the PaO(2)/FiO2 ratio within 1h and in the oxygenation index within 24 h. The duration of HFOV was 6.1 +/- 5.8 days. HFOV was continued during 26 surgeries for 14 patients where a mean of 18 +/- 9% TBSA burns were excised and closed. The only complications related to HFOV were three episodes of severe hypercapnia. In-hos...Continue Reading

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Citations

Mar 29, 2006·Journal of Burn Care & Research : Official Publication of the American Burn Association·Masakatsu GotoRichard L Gamelli
Mar 9, 2005·Critical Care Medicine·Jason HigginsStephen Derdak
Mar 9, 2005·Critical Care Medicine·Robert CartottoTerry Smith
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Dec 9, 2008·Journal of Burn Care & Research : Official Publication of the American Burn Association·Robert CartottoRob Fowler
Jan 24, 2009·Journal of Burn Care & Research : Official Publication of the American Burn Association·David J Dries
Dec 9, 2008·Journal of Burn Care & Research : Official Publication of the American Burn Association·Robert Cartotto
Dec 3, 2010·Journal of Burn Care & Research : Official Publication of the American Burn Association·Gautam WaliaRobert Cartotto
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