A 56-year-old white man developed bilateral staphylococcal pneumonia with resulting acute respiratory failure following an open-lung biopsy. Conventional volume ventilation (CVV) resulted in barotrauma, consisting of a large pneumatocele and pneumothorax, and high frequency jet ventilation (HFJV) was also inadequate to maintain ventilation. However, when CVV and HFJV were used in tandem, adequate ventilation was achieved at lower airway pressures.
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References
1.
SladenA, GuntupalliK, KlainM.High-frequency jet ventilation versus intermittent positive-pressure ventilation. Crit Care Med1984;12:788–790.
2.
CalkinsJM, WatersonCK. Clinical factors influencing the selection of high-frequency jet ventilators. Crit Care Med1984;12:806–809.
3.
CarlonGC, HowlandWS, GroegerJS, RayC, MiodownikS.Role of high-frequency jet ventilation in the management of respiratory failure. Crit Care Med1984;12:777–779.
4.
CarlonGC, KahnRC, HowlandWS, RayC, TurnbullAD. Clinical experience with high frequency jet ventilation. Crit Care Med1981;9:1–6.
KoltonM, CattranCB, KentG, VolgyesiG, FroeseA, BryanA.Oxygenation during high-frequency ventilation compared with conventional mechanical ventilation in two models of lung injury. Anesth Analg1982;61:323–332.
7.
SladenA, GuntupalliK, MarquezJ, KlainM.High-frequency jet ventilation in the post-operative period: A review of 100 patients. Crit Care Med1984;12:782–787.
8.
KlainM, KallaR, SladenA, GuntupalliK.High-frequency jet ventilation in weaning the ventilator-dependent patient. Crit Care Med1984;12:780–781.
9.
SchusterD, SnyderJ, KlainM, GrenvikA.High-frequency jet ventilation during the treatment of acute fulminant pulmonary edema. Chest1981;80:682–685.
10.
CarlonG, RayC, KlainM, McCormickJ.High-frequency positive pressure ventilation in management of a patient with bronchopleural fistula. Anesthesiology1980;52:160–162.
11.
GuntupalliK, SladenA, KlainM.High-frequency jet ventilation: A case report. Thorax1982;37:558–559.
12.
MendezM, PrattD, MayJ.Prolonged high-frequency jet ventilation. Crit Care Med1984;12:838–839.
13.
GallagherTJ, KlainM, CarlonG.Present status of high frequency ventilation. Crit Care Med1982;10:613–617.
14.
KeszlerH.Present status of high frequency ventilation (letter). Crit Care Med1983;11:579.
15.
BrichantJF, RoubyJJ, ViarsP.Combined high-frequency ventilation and intermittent positive pressure ventilation in acute respiratory failure (abstract). Anesthesiology (Suppl) 1985;63:A137.
