Document Detail

Combined use of HFPPV with low-rate ventilation in traumatic respiratory insufficiency.
MedLine Citation:
PMID:  6432870     Owner:  NLM     Status:  MEDLINE    
Two patients with chest injuries, flail chest and respiratory failure were mechanically ventilated by a system composed of 2 Bennett respirators and an independent source of gas. This system provides high-frequency positive pressure ventilation (HFPPV), low-frequency conventional mechanical ventilation (LFCMV) and high inspiratory flow of fresh gas (HIF), through the independent source. This system made use of the advantages of HFPPV and also solved the problem of possible CO2 retention. Using this system we could ventilate the patients while they were fully conscious and cooperative, thus eliminating the need for sedatives and muscle relaxants. Time of mechanical ventilation was shortened since the internal pneumatic fixation was very good and made it possible for the fractured ribs to unite rapidly. Restoration of spontaneous breathing was immediate after disconnection from the ventilator. We suggest this method as another mode of ventilation for patients with flail chest and respiratory failure.
E Barzilay; A Lev; C Lesmes; R Fleck; A Khourieh
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Intensive care medicine     Volume:  10     ISSN:  0342-4642     ISO Abbreviation:  Intensive Care Med     Publication Date:  1984  
Date Detail:
Created Date:  1984-10-22     Completed Date:  1984-10-22     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  7704851     Medline TA:  Intensive Care Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  197-200     Citation Subset:  IM    
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MeSH Terms
Carbon Dioxide / blood
Contusions / complications
Flail Chest / complications*
Lung Injury
Middle Aged
Positive-Pressure Respiration / methods*
Respiratory Distress Syndrome, Adult / blood,  etiology,  physiopathology,  therapy*
Thoracic Injuries / complications*
Tidal Volume
Reg. No./Substance:
124-38-9/Carbon Dioxide

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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