Abstract:
:Surgical conditions during conventional mechanical ventilation (CMV) and pulmonary gas exchange were compared with those during high-frequency ventilation (HFV) in 24 patients undergoing anesthesia for intrathoracic surgery. HFV at an oscillatory frequency of 3 Hz and a delivered gas volume of 1.3-1.9 ml/kg provided excellent surgical conditions for peripheral lung procedures. However, surgical conditions for procedures on the major airways or mediastinal structures were unsatisfactory during HFV. Adequate pulmonary gas exchange was achieved with HFV when the chest was open. Further evidence is presented for expiratory flow limitation during HFV. Expiratory flow limitation seems to occur particularly in patients with chronic obstructive airway disease, leading to increased lung volume. Currently, the authors do not recommend HFV for routine use during anesthesia for thoracic surgery.
journal_name
Anesthesiologyjournal_title
Anesthesiologyauthors
Glenski JA,Crawford M,Rehder Kdoi
10.1097/00000542-198602000-00014subject
Has Abstractpub_date
1986-02-01 00:00:00pages
211-4issue
2eissn
0003-3022issn
1528-1175journal_volume
64pub_type
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