Document Detail

High frequency jet ventilation (HFJV) has no better haemodynamic tolerance than controlled mechanical ventilation (CMV) in cardiogenic shock.
MedLine Citation:
PMID:  3403768     Owner:  NLM     Status:  MEDLINE    
Six patients with acute myocardial infarction (AMI) complicated by cardiogenic shock were studied in order to compare the haemodynamic tolerance of controlled mechanical ventilation (CMV) and high frequency jet ventilation (HFJV). The comparative analysis of the two techniques was performed with the same levels of PaO2 (CMV: 101 +/- 13 mmHg; HFJV: 104.2 +/- 14 p = ns); and PaCO2 (CMV: 37 +/- 1.7; HFJV: 35.7 +/- 1.4 p = ns). In this situation the values of mean airway pressure (Paw) did not differ significantly (CMV: 13 +/- 3 cm H2O; HFJV: 12.6 +/- 3.8 cm H2O) and no statistically significant difference in haemodynamic values was observed. These results demonstrate that in patients with cardiogenic shock, there is no difference between HFJV and CMV in terms of haemodynamic tolerance. Because of the more difficult clinical management of HFJV, this technique does not seem indicated as ventilatory support in patients with cardiogenic shock states.
G Crimi; G Conti; M Bufi; M Antonelli; R A de Blasi; C Mattia; R Romano; A Gasparetto
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Intensive care medicine     Volume:  14     ISSN:  0342-4642     ISO Abbreviation:  Intensive Care Med     Publication Date:  1988  
Date Detail:
Created Date:  1988-09-16     Completed Date:  1988-09-16     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7704851     Medline TA:  Intensive Care Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  359-63     Citation Subset:  IM    
Institute of Anaesthesiology and Resuscitation, University La Sapienza, Rome, Italy.
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MeSH Terms
High-Frequency Jet Ventilation*
Middle Aged
Myocardial Infarction / complications,  physiopathology,  therapy
Respiration, Artificial*
Shock, Cardiogenic / etiology,  physiopathology,  therapy*

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