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Intensive Care Medicine
Published in: Intensive Care Medicine 10/2003

01-10-2003 | Editorial

Is high frequency oscillation the best lung protective ventilatory approach for ARDS?

Author: Robert M. Kacmarek

Published in: Intensive Care Medicine | Issue 10/2003

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Excerpt

The first patent for a high frequency oscillator (HFO) was issued to Jack Emerson, the designer of the Emerson ventilators, in 1959 [1]. Subsequently, interest in the use of high frequency ventilation has gone through a number of cycles of increased and decreased enthusiasm for the approach. Over the last 10 years, the impact of the mechanical ventilator on lung injury has been studied extensively and the approach used to provide conventional mechanical ventilation has been shown to have an impact on outcome in two randomized controlled trials [2, 3]. This increased interest in the impact of mechanical ventilation on lung injury has again focused attention on HFO. …
Literature
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Emerson JH (1959) Apparatus for vibrating portions of a patient's airway. United States Patent Office, Patent No. 2,918,917, December 29th
2.
Amato MBP, Barbas CSV, Medeiros DM, Magaldi RB, Schettino GP, Lorenzi-Filho G, Kairalla RA, Deheinzelin D, Munoz C, Oliveria R, Takagaki TY, Carvalho CRR (1998) Effect of protective-ventilation strategy on mortality in the acute respiratory distress syndrome. New Eng J Med 338:347–354CrossRefPubMed
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ARDSnet (2000) Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. New Eng J Med 342:1301–1308CrossRefPubMed
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Froese AB (1997) High-frequency oscillatory ventilation for adult respiratory distress syndrome: let's get it right this time. Crit Care Med 25:906–908PubMed
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Mehta S, Lapinsky SE, Hallett DD, Merker D, Groll RJ, Cooper AB, MacDonald RJ, Stewart TE (2001) Prospective trial of high frequency oscillation in adults with acute respiratory distress syndrome. Crit Care Med 29:1360–1369PubMed
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Derdak S, Mehta S, Stewart TE, Smith T, Rogers M, Buchman TG, Carlin B, Lowson S, Granton J (2002) High-frequency oscillatory ventilation for acute respiratory distress syndrome in adults: a randomized control trial. Am J Respir Crit Care Med 166:801–808
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Courtney SE, Durand DJ, Asselin JM, Hudak ML, Aschner JL, Shoemaker CT, for the Neonatal Ventilation Study Group (2002) High-frequency oscillatory ventilation versus conventional mechanical ventilation for very-low-birth-weight infants. N Engl J Med 347:643–652CrossRefPubMed
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Johnson AH, Peacock JL, Greenough A, Marlow N, Limb ES, Marston L, Calvert SA, for the United Kingdom Oscillation Study Group (2002) High-frequency oscillatory ventilation for the prevention of chronic lung disease of prematurity. N Engl J Med 347:633–642
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Chang HK (1984) Mechanisms of gas transport during ventilation by high frequency oscillation. J Appl Physiol 56:553–563PubMed
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Sedeek KA, Takeuchi M, Suchodolski K, Kacmarek RM (2003) Determinants of tidal volume during high frequency oscillation. Critical Care Medicine 31:227–231PubMed
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Tobin MJ (2000) Culmination of an era in research on the acute respiratory distress syndrome. N Engl J Med 342:1360–1361CrossRefPubMed
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Rimensberger PL, Pache JC, McKerlie C, Frndova H, Cox PN (2000) Lung recruitment and lung volume maintenance: a strategy for improving oxygenation and preventing lung injury during both conventional ventilation and high frequency oscillation. Intensive Care Med 26:745–755CrossRefPubMed
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Vazquez de Anda GF, Hartog A, Verbrugge SJC, Gommers D, Lachmann B (1999) The open lung concept: pressure controlled ventilation is as effective as high frequency oscillatory ventilation in improving gas exchange and lung mechanics is surfactant deficient animals. Intensive Care Med 25:990–998CrossRefPubMed
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Sedeek KA, Takeuchi M, Suchodolski K, Vargas SO, Shimaoka M, Schmitzer JJ, Kacmarek RM (2003) Open lung protective ventilation with PCV, HFO, and ITPV results in similar gas exchange, hemodynamics and lung mechanics. Anesthesiology (in press)
Metadata
Title
Is high frequency oscillation the best lung protective ventilatory approach for ARDS?
Author
Robert M. Kacmarek
Publication date
01-10-2003
Publisher
Springer-Verlag
Published in
Intensive Care Medicine / Issue 10/2003
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-003-1939-0

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