Combined use of HFPPV with low-rate ventilation in traumatic respiratory insufficiency.

Abstract:

:Two patients with chest injuries, flail chest and respiratory failure were mechanically ventilated by a system composed of 2 Bennett respirators and an independent source of gas. This system provides high-frequency positive pressure ventilation (HFPPV), low-frequency conventional mechanical ventilation (LFCMV) and high inspiratory flow of fresh gas (HIF), through the independent source. This system made use of the advantages of HFPPV and also solved the problem of possible CO2 retention. Using this system we could ventilate the patients while they were fully conscious and cooperative, thus eliminating the need for sedatives and muscle relaxants. Time of mechanical ventilation was shortened since the internal pneumatic fixation was very good and made it possible for the fractured ribs to unite rapidly. Restoration of spontaneous breathing was immediate after disconnection from the ventilator. We suggest this method as another mode of ventilation for patients with flail chest and respiratory failure.

journal_name

Intensive Care Med

journal_title

Intensive care medicine

authors

Barzilay E,Lev A,Lesmes C,Fleck R,Khourieh A

doi

10.1007/BF00259437

subject

Has Abstract

pub_date

1984-01-01 00:00:00

pages

197-200

issue

4

eissn

0342-4642

issn

1432-1238

journal_volume

10

pub_type

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