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Revista chilena de pediatría

versão impressa ISSN 0370-4106

Resumo

RODRIGUEZ C, José et al. High frequency oscillatory ventilation in pediatric patients with "adult" type respiratory distress syndrome. Rev. chil. pediatr. [online]. 1998, vol.69, n.4, pp.142-147. ISSN 0370-4106.  http://dx.doi.org/10.4067/S0370-41061998000400002.

Objectivez: to asses usefulness of high frequency oscillatory ventilation in children with "adult type" acute respiratory distress syndrome. Patients and methods: eleven infants and children aged 3 days to 8 years (mean 22.1 month) with diffuse lung injury and oxygenation index over 20 [42 ± 1 2.2), were non randomly ventilated with high frequency oscilatory ventilation and a high pulmonary volume. Results: a significant decrease in oxygenation index to 22 ± 9.6 was recorded in the first four hours under high frequency ventilation and this reduction was sustained. Eight out of 1 1 patients survived, all of them were able to be returned to conventional mechanical ventilation and were eventually extubated. Three patienis died, no deaths were due to respiratory failure. Predicted mortality among these patients was 70%, however 72.7% survival was recorded. There were no side effects attributable to nigh frequency oscilatory ventilation. Conclusion: in pediatric patients with severe adult type respiratory distress syndrome of different causes, high frequency oscilatory ventilation may be a safe and effective tool.

Palavras-chave : respiratory distress syndrome; adult; high frequency ventilation; respiration; artificial.

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