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Báo cáo y học: " Allowing for spontaneous breathing during high-frequency oscillation: the key for final success"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care cung cấp cho các bạn kiến thức về ngành y đề tài: Allowing for spontaneous breathing during high-frequency oscillation: the key for final success? | Available online http ccforum.eom content 10 4 155 Commentary Allowing for spontaneous breathing during high-frequency oscillation the key for final success Peter C Rimensberger University Children s Hospital of Geneva Pediatric and Neonatal ICU Geneva Switzerland Corresponding author Peter C Rimensberger Peter.Rimensberger@hcuge.ch Published 31 July 2006 This article is online at http ccforum.com content 10 4 155 2006 BioMed Central Ltd Critical Care 2006 10 155 doi 10.1186 cc4993 See related research by van Heerde et al. http ccforum.com content 10 4 R103 Abstract In the present issue of Critical Care van Heerde and colleagues describe a new technical development a flow-demand system during high-frequency oscillation that may have an important impact on the future use of high-frequency ventilation in children and adults. Flow compensation on patient demand seems to reduce the imposed work of breathing may therefore increase patient comfort and should theoretically allow for maintaining spontaneous breathing while heavy sedation and muscular paralysis could be avoided. With further technical development of this concept high-frequency oscillation can finally be added to the techniques of mechanical ventilatory support that maintain rather than suppress spontaneous breathing efforts. Furthermore this concept will give high-frequency oscillation the chance to prove its potential role as primary therapy in patients with acute lung injury acute respiratory distress syndrome the chance to reduce the incidence of high-frequency oscillation failure for patient or physician discomfort as reported in so many clinical trials in the past the chance to most probably allow successful weaning from high-frequency oscillation to extubation and ultimately in analogy to what has been reported from the experience with other ventilator modes that allow for maintaining spontaneous breathing the chance to decrease ventilator days in patients with acute lung injury acute respiratory .