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Intensive Care Medicine

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01-08-2003 | Original

Alveolar recruitment of atelectasis under combined high-frequency jet ventilation: a computed tomography study

Authors: Paul Kraincuk, Günther Körmöczi, Mathias Prokop, Gerald Ihra, Alexander Aloy

Published in: Intensive Care Medicine | Issue 8/2003

Abstract

Objective

To quantify the effect of superimposed high-frequency jet ventilation on lung recruitment in adult patients with acute lung injury.

Design and setting

Prospective clinical study in the intensive care unit of a university teaching hospital.

Patients

Eight adults suffering from acute lung injury with a mean lung injury score of 2.6±0.6 and pronounced atelectasis in at least two lung quadrants. The cause was either pneumonia (n=5) or postoperative sepsis (n=3).

Interventions

Superimposed high-frequency jet ventilation was initiated in patients following a mean of 4.4±1.7 days of conventional ventilation. Before and 4 h after the start of superimposed high-frequency jet ventilation differential lung volumes were determined by volumetry using computed tomography.

Measurements and results

Superimposed high-frequency jet ventilation significantly increased the lung volume of every patient due to alveolar recruitment. This was achieved despite lower peak inspiratory pressures and higher PaO₂/FIO₂ ratios than with conventional ventilation.

Conclusions

Treatment with superimposed high-frequency jet ventilation for 4 h resulted in rapid alveolar recruitment in dependent lung areas, improved gas exchange, and better arterial oxygenation. It offers an effective and advantageous alternative to conventional ventilation for ventilatory management of respiratory insufficient patients.

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Title: Alveolar recruitment of atelectasis under combined high-frequency jet ventilation: a computed tomography study
Authors: Paul Kraincuk
Günther Körmöczi
Mathias Prokop
Gerald Ihra
Alexander Aloy
Publication date: 01-08-2003
Publisher: Springer-Verlag
Published in: Intensive Care Medicine / Issue 8/2003
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI: https://doi.org/10.1007/s00134-003-1828-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Alveolar recruitment of atelectasis under combined high-frequency jet ventilation: a computed tomography study

Abstract

Objective

Design and setting

Patients

Interventions

Measurements and results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objective

Design and setting

Patients

Interventions

Measurements and results

Conclusions

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