Pro/con clinical debate: High-frequency oscillatory ventilation is better than conventional ventilation for premature infants
- PMID: 14624681
- PMCID: PMC374363
- DOI: 10.1186/cc2178
Pro/con clinical debate: High-frequency oscillatory ventilation is better than conventional ventilation for premature infants
Abstract
Arguably one of the most important advances in critical care medicine in recent years has been the understanding that mechanical ventilators can impart harm and that lung-protective ventilation strategies can save lives. High-frequency oscillatory ventilation appears ideally suited for lung protection at first glance. Two camps of opinion exist, however, even in neonates where this modality has been most extensively studied. In the present debate, the prevailing arguments from each of those camps are made available for the reader to decide.
References
-
- Hamilton PP, Onayemi A, Smyth JA, Gillan JE, Cutz E, Froese AB, Bryan AC. Comparison of conventional and high frequency ventilation: oxygenation and lung pathology. J Appl Physiol. 1983;55:131–138. - PubMed
-
- deLemos RA, Coalson JJ, Gerstmann DR, Null DM, Ackerman NB, Escobedo MB, Robotham JL, Kuehl TJ. Ventilatory management of infant baboons with hyaline membrane disease: the use of high frequency ventilation. Pediatr Res. 1987;21:594–602. - PubMed
-
- Meredith KS, deLemos RA, Coalson JJ, King RJ, Gerstmann DR, Kumar R, Kuehl TJ, Winter DC, Taylor A, Clark RH, Null DM. Role of lung injury in the pathogenesis of hyaline membrane disease in premature baboons. J Appl Physiol. 1989;66:2150–2158. - PubMed
-
- Jackson JC, Truog WE, Standaert TA, Murphy JH, Juul SE, Chi EY, Hildebrant J, Hodson WA. Reduction in lung injury after combined surfactant and high-frequency ventilation. Am J Respir Crit Care Med. 1994;150:534–539. - PubMed
-
- Froese AB, McCulloch PR, Sugiura M, Vaclavik S, Possmayer F, Moller F. Optimizing alveolar expansion prolongs the effectiveness of exogenous surfactant therapy in the adult rabbit. Am Rev Respir Dis. 1993;148:569–577. - PubMed
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