AJCC
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

American Journal of Critical Care. 2009;18: 144-148 doi:10.4037/ajcc2009303
Copyright © 2009 by the American Association of Critical-Care Nurses.
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Respond to This Article
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Related articles in AJCC
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Briggs, S.
Right arrow Articles by Rotondo, M. F.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Briggs, S.
Right arrow Articles by Rotondo, M. F.

High-Frequency Oscillatory Ventilation as a Rescue Therapy for Adult Trauma Patients

By Steven Briggs, MD, Claudia E. Goettler, MD, Paul J. Schenarts, MD, Mark A. Newell, MD, Scott G. Sagraves, MD, Michael R. Bard, MD, Eric A. Toschlog, MD and Michael F. Rotondo, MD. All authors are affiliated with the Department of Surgery, East Carolina University, Brody School of Medicine, Greenville, North Carolina.

Corresponding author: Claudia Goettler, MD, Center of Excellence in Trauma and Surgical Critical Care, Department of Surgery, East Carolina University, Brody School of Medicine, 600 Moye Blvd, Greenville, NC 27858-4354 (e-mail: Cgoettle{at}pcmh.com).

Background High-frequency oscillatory ventilation is an alternative ventilation mode that improves oxygenation in trauma patients in whom conventional ventilation strategies have been unsuccessful.

Objective To evaluate the effect of high-frequency oscillatory ventilation on oxygenation, survival, and parameters predictive of survival in trauma patients.

Methods A retrospective case series of 24 adult patients admitted to the trauma intensive care unit at a level I trauma center between November 2001 and July 2005 and treated with high-frequency oscillatory ventilation. Survivors and nonsurvivors were compared for mechanism and severity of injury, oxygenation parameters related to high-frequency oscillatory ventilation, and hospital course.

Results Of the 8577 patients admitted during the study period, acute respiratory distress syndrome developed in 103 (1%). Of those 103 patients, 24 (23%) were treated with high-frequency oscillatory ventilation. Most of the patients treated with high-frequency oscillatory ventilation had sustained blunt trauma (79%). Oxygenation parameters improved significantly with high-frequency oscillatory ventilation in all patients, regardless of survival. Of the 24 patients treated with this ventilation mode, 15 (62%) survived. Survival did not correlate with improved oxygenation parameters but with the number of failed organ systems and injury severity.

Conclusion Although high-frequency oscillatory ventilation improves oxygenation, severity of traumatic injury and organ failure, not respiratory parameters, are predictors of survival. High-frequency oscillatory ventilation should be considered for pulmonary rescue of severely injured patients with acute respiratory distress syndrome.


Related articles in AJCC:

Clinical Pearls
Mary Jo Grap
AJCC 2009 18: 104. [Full Text]  



This article has been cited by other articles:


Home page
 Crit Care NurseHome page
H. Oh and W. Seo
Functional and Cognitive Recovery of Patients With Traumatic Brain Injury: Prediction Tree Model Versus General Model
Crit. Care Nurse, August 1, 2009; 29(4): 12 - 22.
[Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2009 by the American Association of Critical-Care Nurses.