Abstract:
:High-frequency jet ventilation (HFJV) is FDA-approved for ventilating patients with bronchopleural fistulae (BPF), yet little is known about its effect on the fistula airleak. We quantitated a patient's BPF airleak during both conventional volume-cycled ventilation and HFJV. The effect of chest-tube suction (CTS) on BPF flow was also studied. Despite a significant reduction in peak airway pressure, the HFJV resulted in a 50-70 percent increase in BPF flow. CTS also significantly increased the airleak. HFJV may not always be the preferential method for ventilating patients with BPF and we recommend measuring the fistula airleak when attempting to optimize a patient's ventilatory parameters.
journal_name
Chestjournal_title
Chestauthors
Roth MD,Wright JW,Bellamy PEdoi
10.1378/chest.93.1.210subject
Has Abstractpub_date
1988-01-01 00:00:00pages
210-3issue
1eissn
0012-3692issn
1931-3543pii
S0012-3692(16)33554-1journal_volume
93pub_type
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