High-frequency jet ventilation in the postoperative period: a review of 100 patients.

Abstract:

:One hundred patients were ventilated with high-frequency jet ventilation (HFJV) during the initial 24-h postoperative period in the surgical and neurosurgical ICUs. Eighty-three were successfully weaned, 2 could not be ventilated adequately with HFJV, and 15 with criteria of acute respiratory failure received HFJV for up to 21 days. A HFJV delivery system consisted of jetting and entrainment systems, both with their own humidification designs. An initial mode of HFJV using 35 psi, jet rate 100 cycle/min and inspiratory time 30% provided a mean PaCO2 of 34 torr in 38 patients studied. A comparison of HFJV without and with a positive end-expiratory pressure (PEEP) of 10 cm H2O indicated a decrease in mean Qsp/Qt from 17% to 13% with decrease in cardiac index (CI) from 3.39 to 2.81 L/min X m2; this effect is similar to PEEP applied to a conventional ventilator. Weaning proved to be simple and comfortable for the patient. In the light of our experience, we believe that HFJV is both feasible and practical for the postoperative patient and should be introduced into routine clinical use.

journal_name

Crit Care Med

journal_title

Critical care medicine

authors

Sladen A,Guntupalli K,Marquez J,Klain M

doi

10.1097/00003246-198409000-00022

subject

Has Abstract

pub_date

1984-09-01 00:00:00

pages

782-7

issue

9

eissn

0090-3493

issn

1530-0293

journal_volume

12

pub_type

杂志文章
  • Sucrose malabsorption and impaired mucosal integrity in enterally fed critically ill patients: a prospective cohort observational study.

    abstract:OBJECTIVE:Inadequate nutrition is common in critical illness due in part to gastric stasis. However, recent data suggest that altered small intestinal mucosal function may be a contributing factor. The aim of this study was to examine the effects of critical illness on sucrose absorption, permeability, and mucosal morp...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0b013e31827ca2fa

    authors: Burgstad CM,Besanko LK,Deane AM,Nguyen NQ,Saadat-Gilani K,Davidson G,Burt E,Thomas A,Holloway RH,Chapman MJ,Fraser RJ

    更新日期:2013-05-01 00:00:00

  • Case of fulminant hepatic failure due to unrecognized peripartum cardiomyopathy.

    abstract:OBJECTIVE:To describe a postpartum patient who presented with fulminant hepatic failure and hepatic coma as a result of unrecognized peripartum cardiomyopathy. DESIGN:Case report. SETTING:Medical intensive care unit of a tertiary care academic medical center. PATIENT:A 35-yr-old woman 5 wks postpartum from an uneven...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/01.ccm.0000158517.25962.8e

    authors: Fussell KM,Awad JA,Ware LB

    更新日期:2005-04-01 00:00:00

  • Improving Hospital Survival and Reducing Brain Dysfunction at Seven California Community Hospitals: Implementing PAD Guidelines Via the ABCDEF Bundle in 6,064 Patients.

    abstract:OBJECTIVES:To track compliance by an interprofessional team with the Awakening and Breathing Coordination, Choice of drugs, Delirium monitoring and management, Early mobility, and Family engagement (ABCDEF) bundle in implementing the Pain, Agitation, and Delirium guidelines. The aim was to study the association between...

    journal_title:Critical care medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/CCM.0000000000002149

    authors: Barnes-Daly MA,Phillips G,Ely EW

    更新日期:2017-02-01 00:00:00

  • Keratinocyte growth factor and hepatocyte growth factor in bronchoalveolar lavage fluid in acute respiratory distress syndrome patients.

    abstract:OBJECTIVES:To determine bronchoalveolar lavage (BAL) fluid concentrations of keratinocyte growth factor (KGF) and hepatocyte growth factor (HGF), two potent growth factors for alveolar type II epithelial cells, in patients with acute respiratory distress syndrome (ARDS). DESIGN:Prospective study. SETTING:An adult tra...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-200007000-00024

    authors: Stern JB,Fierobe L,Paugam C,Rolland C,Dehoux M,Petiet A,Dombret MC,Mantz J,Aubier M,Crestani B

    更新日期:2000-07-01 00:00:00

  • Intestinal nitric oxide output during reduced mucosal blood flow in healthy volunteers.

    abstract:OBJECTIVE:Nitric oxide regulates epithelial permeability and other properties of the intestinal mucosal barrier. It previously has been shown in animals that intestinal mucosal nitric oxide production is impaired during gut hypoperfusion. The study was performed to confirm the presence of intestinal mucosal nitric oxid...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/01.CCM.0000080489.67211.1F

    authors: Snygg J,Aneman A,Pettersson A,Fändriks L

    更新日期:2003-08-01 00:00:00

  • Early cerebral perfusion pressure augmentation with phenylephrine after traumatic brain injury may be neuroprotective in a pediatric swine model.

    abstract:OBJECTIVE:Cerebral perfusion pressure<40 mm Hg following pediatric traumatic brain injury has been associated with increased mortality independent of age, and current guidelines recommend maintaining cerebral perfusion pressure between 40 mm Hg-60 mm Hg. Although adult traumatic brain injury studies have observed an in...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0b013e31825333e6

    authors: Friess SH,Smith C,Kilbaugh TJ,Frangos SG,Ralston J,Helfaer MA,Margulies SS

    更新日期:2012-08-01 00:00:00

  • Effect of a Perioperative Intra-Aortic Balloon Pump in High-Risk Cardiac Surgery Patients: A Randomized Clinical Trial.

    abstract:OBJECTIVES:The aim of this study was to evaluate the efficacy of perioperative intra-aortic balloon pump use in high-risk cardiac surgery patients. DESIGN:A single-center randomized controlled trial and a meta-analysis of randomized controlled trials. SETTING:Heart Institute of São Paulo University. PATIENTS:High-ri...

    journal_title:Critical care medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/CCM.0000000000003185

    authors: Rocha Ferreira GS,de Almeida JP,Landoni G,Vincent JL,Fominskiy E,Gomes Galas FRB,Gaiotto FA,Dallan LO,Franco RA,Lisboa LA,Palma Dallan LR,Fukushima JT,Rizk SI,Park CL,Strabelli TM,Gelas Lage SH,Camara L,Zeferino S,Jar

    更新日期:2018-08-01 00:00:00

  • Interdisciplinary consultation on the care of the critically ill and dying: the role of one hospital ethics committee.

    abstract::Little is known about the structure and objectives of various hospital ethics committees due to their need to preserve confidentiality, their reluctance to reveal internal hospital problems, and their concern about becoming involved in the developing debate about the appropriate role and value of such committees. The ...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-198211000-00018

    authors: Cohen CB

    更新日期:1982-11-01 00:00:00

  • Sepsis-Associated Coagulopathy Severity Predicts Hospital Mortality.

    abstract:OBJECTIVES:To assess whether sepsis-associated coagulopathy predicts hospital mortality. DESIGN:Retrospective cohort study. SETTING:One-thousand three-hundred beds urban academic medical center. PATIENTS:Six-thousand one-hundred forty-eight consecutive patients hospitalized between January 1, 2010, and December 31, ...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0000000000002997

    authors: Lyons PG,Micek ST,Hampton N,Kollef MH

    更新日期:2018-05-01 00:00:00

  • Clinician Perspectives Regarding In-Hospital Cardiac Arrest Resuscitation: A Multicenter Survey.

    abstract:OBJECTIVES:Evaluate clinicians' sentiments about participating in cardiac arrest resuscitations and identify factors associated with confidence in resuscitation of cardiac arrest. DESIGN:Electronic survey. SETTING:Twenty-one hospitals in Utah and Idaho. SUBJECTS:All attending physicians, residents, and nurses in a m...

    journal_title:Critical care medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/CCM.0000000000003612

    authors: Peltan ID,Poll J,Sorensen J,Guidry D,Chandler M,Beninati W,Brown SM

    更新日期:2019-03-01 00:00:00

  • ST changes during sodium nitroprusside therapy in acute myocardial infarction.

    abstract::Nineteen patients with acute anterior myocardial infarction who were hypertensive (systolic BP greater than or equal to 170 mm Hg and/or diastolic BP greater than or equal to 100 mm Hg) at the time of admission were treated with continuous infusion of sodium nitroprusside (NP). The administration of NP resulted in a s...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-198310000-00010

    authors: Rucabado L,Miñana J,Cebrián J,Monsalve F,Cuñat J,Ruano M

    更新日期:1983-10-01 00:00:00

  • Critical care medicine use and cost among Medicare beneficiaries 1995-2000: major discrepancies between two United States federal Medicare databases.

    abstract:OBJECTIVE:A comparison of federal Medicare databases to identify critical care medicine (CCM) use, cost discrepancies, and their possible causes. DESIGN:A 6-yr (1995-2000) retrospective analysis of Medicare hospital and CCM use and cost, comparing the Hospital Cost Report Information System (HCRIS) with Medicare Provi...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/01.CCM.0000257255.57899.5D

    authors: Halpern NA,Pastores SM,Thaler HT,Greenstein RJ

    更新日期:2007-03-01 00:00:00

  • Effect of Boarding on Mortality in ICUs.

    abstract:OBJECTIVES:Hospitals use a variety of strategies to maximize the availability of limited ICU beds. Boarding, which involves assigning patients to an open bed in a different subspecialty ICU, is one such practice employed when ICU occupancy levels are high, and beds in a particular unit are unavailable. Boarding disrupt...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0000000000002905

    authors: Stretch R,Della Penna N,Celi LA,Landon BE

    更新日期:2018-04-01 00:00:00

  • A survey of successful FFARACS candidates in Australasia.

    abstract::As of October 1985, 37 candidates have passed the final examination in intensive care for the Diploma of Fellow of the Faculty of Anaesthetists, Royal Australasian College of Surgeons (FFARACS). In September 1984, 23 of these successful candidates responded to a questionnaire seeking information on their educational e...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-198606000-00015

    authors: Byth PL,Harrison GA

    更新日期:1986-06-01 00:00:00

  • Airway humidification with high-frequency jet ventilation.

    abstract::Humidification of inspired gases is indispensible to prevent serious injury to the tracheal mucosa of patients on mechanical ventilation. High-frequency jet ventilation (HFJV), recently introduced for the management of some forms of respiratory failure, presents unusual technical problems of humidification. The presen...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-198502000-00013

    authors: Carlon GC,Barker RL,Benua RS,Guy YG

    更新日期:1985-02-01 00:00:00

  • Characteristics and Outcomes of HIV-Infected Patients With Severe Sepsis: Continued Risk in the Post-Highly Active Antiretroviral Therapy Era.

    abstract:OBJECTIVES:Although highly active antiretroviral therapy has led to improved survival in HIV-infected individuals, outcomes for HIV-infected patients with sepsis in the post-highly active antiretroviral therapy era are conflicting. Access to highly active antiretroviral therapy and healthcare disparities continue to af...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0000000000001003

    authors: Cribbs SK,Tse C,Andrews J,Shenvi N,Martin GS

    更新日期:2015-08-01 00:00:00

  • Real-Time Risk Prediction on the Wards: A Feasibility Study.

    abstract:OBJECTIVE:Failure to detect clinical deterioration in the hospital is common and associated with poor patient outcomes and increased healthcare costs. Our objective was to evaluate the feasibility and accuracy of real-time risk stratification using the electronic Cardiac Arrest Risk Triage score, an electronic health r...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0000000000001716

    authors: Kang MA,Churpek MM,Zadravecz FJ,Adhikari R,Twu NM,Edelson DP

    更新日期:2016-08-01 00:00:00

  • Indicator amount, temperature, and intrinsic cardiac output affect thermodilution cardiac output accuracy and reproducibility.

    abstract:OBJECTIVE:To determine the accuracy and reproducibility of four thermodilution indicators (5-mL room temperature, 10-mL room temperature, 5-mL iced, and 10-mL iced injectates) at clinically relevant flow rates. DESIGN:Quasi-experimental study. SETTING:Animal research laboratory of a health sciences university. SUBJE...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-199304000-00021

    authors: Renner LE,Morton MJ,Sakuma GY

    更新日期:1993-04-01 00:00:00

  • ICU Utilization for Patients With Acute Exacerbation of Chronic Obstructive Pulmonary Disease Receiving Noninvasive Ventilation.

    abstract:OBJECTIVES:We investigated whether patients with chronic obstructive pulmonary disease could safely receive noninvasive ventilation outside of the ICU. DESIGN:Retrospective cohort study. SETTING:Twelve states with ICU utilization flag from the State Inpatient Database from 2014. PATIENTS:Patients greater than or equ...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0000000000003660

    authors: Myers LC,Faridi MK,Currier P,Camargo CA Jr

    更新日期:2019-05-01 00:00:00

  • Reproducibility of thermal-dye lung water measurements by a lung water computer in critically ill patients.

    abstract::Reproducibility of thermal-dye extravascular lung water (EVLW) estimation by a lung water computer was studied by performing ten consecutive measurements in 45 critically ill patients. EVLW ranged over a wide spectrum from 187 to 1163 ml (2.4 to 18.6 ml/kg). The mean coefficient of variation of ten consecutive measure...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-198706000-00014

    authors: Laggner AN,Lenz K,Druml W,Kleinberger G

    更新日期:1987-06-01 00:00:00

  • Automated selection of high-risk patients with acute pancreatitis.

    abstract::One hundred six early features were retrospectively collected on 44 patients with acute pancreatitis and stored in a database programmed on a microcomputer. Intraoperative/autopsy findings or clinical course categorized patients as having severe (n = 16) or mild (n = 28) pancreatitis. The frequency of 88 early availab...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-198904000-00004

    authors: de Bernardinis M,Violi V,Roncoroni L,Montanari M,Peracchia A

    更新日期:1989-04-01 00:00:00

  • B-type natriuretic peptide and risk of acute kidney injury in patients hospitalized with acute coronary syndromes*.

    abstract:OBJECTIVES:To investigate whether admission B-type natriuretic peptide levels predict the development of acute kidney injury in acute coronary syndromes. DESIGN:Prospective study. SETTING:Single-center study, 13-bed intensive cardiac care unit at a University Cardiological Center. PATIENTS:Six-hundred thirty-nine ac...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0000000000000025

    authors: Moltrasio M,Cabiati A,Milazzo V,Rubino M,De Metrio M,Discacciati A,Rumi P,Marana I,Marenzi G

    更新日期:2014-03-01 00:00:00

  • Venous hypercarbia in canine hemorrhagic shock.

    abstract::The venous-arterial PCO2 gradient may increase in certain low-flow states, such as CPR and canine endotoxemia. To determine whether venous hypercarbia also occurs in hemorrhagic shock, we studied 12 anesthetized, mechanically ventilated dogs. We performed laparotomies on the animals, inserting catheters into their ren...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-198705000-00013

    authors: Benjamin E,Paluch TA,Berger SR,Premus G,Wu C,Iberti TJ

    更新日期:1987-05-01 00:00:00

  • Inhaled prostacyclin for the treatment of pulmonary hypertension after cardiac surgery.

    abstract:OBJECTIVE:To describe the effects of inhaled prostacyclin administered after cardiopulmonary bypass (CPB) to a patient with severe pulmonary hypertension. DESIGN:Case report and literature review. SETTING:Cardiac surgical operating rooms and postoperative recovery unit. PATIENTS:A 63-yr-old female who had undergone ...

    journal_title:Critical care medicine

    pub_type: 杂志文章,评审

    doi:10.1097/00003246-200212000-00023

    authors: Lowson SM,Doctor A,Walsh BK,Doorley PA

    更新日期:2002-12-01 00:00:00

  • Critical Care Organizations in Academic Medical Centers in North America: A Descriptive Report.

    abstract:OBJECTIVES:With the exception of a few single-center descriptive reports, data on critical care organizations are relatively sparse. The objectives of our study were to determine the structure, governance, and experience to date of established critical care organizations in North American academic medical centers. DES...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0000000000001200

    authors: Pastores SM,Halpern NA,Oropello JM,Kostelecky N,Kvetan V

    更新日期:2015-10-01 00:00:00

  • Old Mice Demonstrate Organ Dysfunction as well as Prolonged Inflammation, Immunosuppression, and Weight Loss in a Modified Surgical Sepsis Model.

    abstract:OBJECTIVES:Our goal was to "reverse translate" the human response to surgical sepsis into the mouse by modifying a widely adopted murine intra-abdominal sepsis model to engender a phenotype that conforms to current sepsis definitions and follows the most recent expert recommendations for animal preclinical sepsis resea...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0000000000003926

    authors: Stortz JA,Hollen MK,Nacionales DC,Horiguchi H,Ungaro R,Dirain ML,Wang Z,Wu Q,Wu KK,Kumar A,Foster TC,Stewart BD,Ross JA,Segal M,Bihorac A,Brakenridge S,Moore FA,Wohlgemuth SE,Leeuwenburgh C,Mohr AM,Moldawer LL,E

    更新日期:2019-11-01 00:00:00

  • Continuous noninvasive estimation of cardiac output by electrical bioimpedance: an experimental study in dogs.

    abstract::A new device has been developed to estimate continuously and noninvasively cardiac output from the thoracic electrical bioimpedance (CObi). CObi was compared to cardiac output by thermodilution (COtd) in five anesthetized dogs. Blood pressure, blood volume, and blood flow were manipulated by hemorrhage and infusions o...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-198603000-00013

    authors: Tremper KK,Hufstedler SM,Barker SJ,Zaccari J,Harris D,Anderson S,Roohk V

    更新日期:1986-03-01 00:00:00

  • Reversible increase in maximal cortisol secretion rate in septic shock.

    abstract:OBJECTIVE:Cortisol clearance is reduced in sepsis and may contribute to the development of impaired adrenocortical function that is thought to contribute to the pathophysiology of critical illness-related corticosteroid insufficiency. We sought to assess adrenocortical function using computer-assisted numerical modelin...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0000000000000721

    authors: Dorin RI,Qualls CR,Torpy DJ,Schrader RM,Urban FK 3rd

    更新日期:2015-03-01 00:00:00

  • A Dysregulated Balance of Proinflammatory and Anti-Inflammatory Host Cytokine Response Early During Therapy Predicts Persistence and Mortality in Staphylococcus aureus Bacteremia.

    abstract:OBJECTIVES:The contribution of individual immune response to Staphylococcus aureus bacteremia on outcome has not been well studied. The objective was to relate the host cytokine response to outcome of Staphylococcus aureus bacteremia. DESIGN:Prospective observational study. SETTING:Three U.S. university-affiliated me...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0000000000001465

    authors: Minejima E,Bensman J,She RC,Mack WJ,Tuan Tran M,Ny P,Lou M,Yamaki J,Nieberg P,Ho J,Wong-Beringer A

    更新日期:2016-04-01 00:00:00

  • Brief inhalation of low-dose carbon monoxide protects rodents and swine from postoperative ileus.

    abstract:OBJECTIVE:Carbon monoxide (CO), an endogenous byproduct of heme metabolism, is produced at high levels in injured tissue via induction of heme-oxygenase-1 activity, where it contributes to the modulation of proinflammatory processes. Alone, CO has potent anti-inflammatory effects in models of acute and chronic inflamma...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/01.ccm.0000166349.76514.40

    authors: Moore BA,Overhaus M,Whitcomb J,Ifedigbo E,Choi AM,Otterbein LE,Bauer AJ

    更新日期:2005-06-01 00:00:00