Gas flow through a bronchopleural fistula. Measuring the effects of high-frequency jet ventilation and chest-tube suction.

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

Chest

journal_title

Chest

authors

Roth MD,Wright JW,Bellamy PE

doi

10.1378/chest.93.1.210

subject

Has Abstract

pub_date

1988-01-01 00:00:00

pages

210-3

issue

1

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(16)33554-1

journal_volume

93

pub_type

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