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Critical Care
Published in: Critical Care 4/2014

Open Access 01-08-2014 | Commentary

High-frequency oscillatory ventilation in adults: handle with care

Author: Niall D Ferguson

Published in: Critical Care | Issue 4/2014

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Abstract

In the previous issue of Critical Care, Gu and colleagues reported the results of a systematic review and meta-analysis of randomized trials comparing high-frequency oscillatory ventilation (HFOV) with conventional ventilation in adults with acute respiratory distress syndrome (ARDS). In contrast to findings of prior meta-analyses, their main finding was that, despite reducing risks of oxygenation failure, HFOV does not improve survival in adults with ARDS.
Literature
1.
Gu XL, Wu GN, Yao YW, Shi DH, Song Y: In adult acute respiratory distress syndrome patients, is high-frequency oscillatory ventilation more effective and safer than conventional protective ventilation? A meta-analysis of randomized controlled trials. Crit Care. 2014, 18: R111-10.1186/cc13900.PubMedCentralCrossRefPubMed
2.
Sud S, Sud M, Friedrich JO, Meade MO, Ferguson ND, Wunsch H, Adhikari NK: High frequency oscillation in patients with acute lung injury and acute respiratory distress syndrome (ARDS): systematic review and meta-analysis. BMJ. 2010, 340: c2327-10.1136/bmj.c2327.CrossRefPubMed
3.
Bryan AC: The oscillations of HFO. Am J Respir Crit Care Med. 2001, 163: 816-817. 10.1164/ajrccm.163.4.16341.CrossRefPubMed
4.
Slutsky AS, Drazen JM: Ventilation with small tidal volumes. N Engl J Med. 2002, 347: 630-631. 10.1056/NEJMp020082.CrossRefPubMed
5.
Froese AB: High-frequency oscillatory ventilation for adult respiratory distress syndrome: let’s get it right this time. Crit Care Med. 1997, 25: 906-908. 10.1097/00003246-199706000-00004.CrossRefPubMed
6.
Esteban A, Frutos Vivar F, Muriel A, Ferguson ND, Peñuelas O, Abraira V, Raymondos K, Rios F, Nin N, Apezteguía C, Violi DA, Thille AW, Brochard L, González M, Villagomez AJ, Hurtado J, Davies AR, Du B, Maggiore SM, Pelosi P, Soto L, Tomicic V, D’Empaire G, Matamis D, Abroug F, Moreno RP, Soares MA, Arabi Y, Sandi F, Jibaja M, et al: Evolution of mortality over time in patients receiving mechanical ventilation. Am J Respir Crit Care Med. 2013, 188: 220-230. 10.1164/rccm.201212-2169OC.CrossRefPubMed
7.
Ferguson ND, Cook DJ, Guyatt GH, Mehta S, Hand L, Austin P, Zhou Q, Matte A, Walter SD, Lamontagne F, Granton JT, Arabi YM, Arroliga AC, Stewart TE, Slutsky AS: High-frequency oscillation in early acute respiratory distress syndrome. N Engl J Med. 2013, 368: 795-805. 10.1056/NEJMoa1215554.CrossRefPubMed
8.
Young D, Lamb SE, Shah S, Mackenzie I, Tunnicliffe W, Lall R, Rowan K, Cuthbertson BH: High-frequency oscillation for acute respiratory distress syndrome. N Engl J Med. 2013, 368: 806-813. 10.1056/NEJMoa1215716.CrossRefPubMed
9.
Briel M, Meade M, Mercat A, Brower RG, Talmor D, Walter SD, Slutsky AS, Pullenayegum E, Zhou Q, Cook D, Brochard L, Richard J-CM, Lamontagne F, Bhatnagar N, Stewart TE, Guyatt G: Higher vs lower positive end-expiratory pressure in patients with acute lung injury and acute respiratory distress syndrome: systematic review and meta-analysis. JAMA. 2010, 303: 865-873. 10.1001/jama.2010.218.CrossRefPubMed
10.
Papazian L, Forel J-M, Gacouin A, Penot-Ragon C, Perrin G, Loundou A, Jaber S, Arnal J-M, Perez D, Seghboyan J-M, Constantin J-M, Courant P, Lefrant J-Y, Guérin C, Prat G, Morange S, Roch A: Neuromuscular blockers in early acute respiratory distress syndrome. N Engl J Med. 2010, 363: 1107-1116. 10.1056/NEJMoa1005372.CrossRefPubMed
11.
Guérin C, Reignier J, Richard J-C, Beuret P, Gacouin A, Boulain T, Mercier E, Badet M, Mercat A, Baudin O, Clavel M, Chatellier D, Jaber S, Rosselli S, Mancebo J, Sirodot M, Hilbert G, Bengler C, Richecoeur J, Gainnier M, Bayle F, Bourdin G, Leray V, Girard R, Baboi L, Ayzac L: Prone positioning in severe acute respiratory distress syndrome. N Engl J Med. 2013, 368: 2159-2168. 10.1056/NEJMoa1214103.CrossRefPubMed
Metadata
Title
High-frequency oscillatory ventilation in adults: handle with care
Author
Niall D Ferguson
Publication date
01-08-2014
Publisher
BioMed Central
Published in
Critical Care / Issue 4/2014
Electronic ISSN: 1364-8535
DOI
https://doi.org/10.1186/s13054-014-0464-6

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