Independent high-frequency oscillatory ventilation in the management of asymmetric acute lung injury.

Terragni, Pierpaolo; Rosboch, Giulio L; Corno, Eleonora; Menaldo, Eleonora; Tealdi, Andrea; Borasio, Piero; Davini, Ottavio; Viale, Aurelio G et al. · Anesth Analg · 2005

case_report · Level V

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Abstract

We present a case of independent lung ventilation in an adult with asymmetric acute lung injury. We applied a conventional protective ventilatory strategy to the more homogeneously infiltrated lung and high-frequency oscillatory ventilation to the almost totally collapsed lung, because a conventional protective strategy exposed this lung to plateau pressure more than 30 cm H2O, whereas high-frequency oscillatory ventilation provided sufficient gas exchange at safer pressure levels. Analysis of a lung computed tomography scan was used to evaluate the efficacy of the ventilatory strategy.

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