Premium
High‐frequency oscillatory ventilation combined with intermittent mandatory ventilation in critically ill neonates and infants
Author(s) -
Murthy B. V. S.,
Petros A. J.
Publication year - 1996
Publication title -
acta anaesthesiologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.738
H-Index - 107
eISSN - 1399-6576
pISSN - 0001-5172
DOI - 10.1111/j.1399-6576.1996.tb04509.x
Subject(s) - medicine , critically ill , high frequency ventilation , ventilation (architecture) , intensive care medicine , mechanical ventilation , anesthesia , intermittent mandatory ventilation , critical illness , mechanical engineering , engineering
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 (CI 95 0.79‐1.01) to 0.55 (CI 95 0.40‐0.71) at 6h and 0.44 (CI 95 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.