HFOV for Larger Pediatric and Adult Patients

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History of High Frequency Ventilation 1915, Dr. Henderson studied small tidal volumes and rapid rates 1970’s Success with animal studies 1950-19701970 Dr. Emerson, Dr. Bird, Dr. Bunnell studied HFV 1980’s Four received FDA approval
• 1980’s History of High Frequency Ventilation • Studies published regarding use of HFPPV,HFJV and HFOV • FDA Clearance: • Bear Jet Ventilator 1981 • Healthdyne Jet Ventilator 1983 • Infrasonics Infant Star Flow Interrupter 1988 • Bunnell Life Pulse Jet Ventilator 1988 • Infransonics 1010 Jet Ventilator 1991
Page 1: HFOV for Larger Pediatric and Adult
Page 8 and 9: History of High Frequency Ventilati
Page 12: History of High Frequency Ventilati
Page 21 and 22: HFOV 3100B •Cleared for sale outs
Page 23 and 24: Where do we go from here?
Page 27 and 28: Will benefit from HFOV 3100B?
Page 29 and 30: HFOV 3100B • Only Pathology studi
Page 31 and 32: Etiology of ALI / ARDS Direct Cause
Page 33 and 34: Ware and Matthay NEJM 342 (18): 133
Page 35 and 36: Lung Inflation Patterns on multi-Sc
Page 37 and 38: Pressure and Volume Swings During C
Page 39 and 40: About APRV, Bi-Level, Bi-Vent?
Page 41 and 42: Gary Nieman, et al. SUNY Upstate Me
Page 43 and 44: Pressure and Volume Swings During H
Page 45 and 46: Gary Nieman, et al. SUNY Upstate Me
Page 47: Do you initiate HFOV?
Page 50 and 51: When Should HFOV be Initiated? 1. F
Page 52 and 53: Do you manage HFOV?
Page 54 and 55: HFOV 3100B mean airway pressure (mP
Page 56 and 57: HFOV 3100B Power-Amplitude • The
Page 58 and 59: HFOV 3100B Frequency (Hertz) • Se
Page 60 and 61: What is the Role of the RT During H
Page 62 and 63: Critical Care Medicine 2005 Vol. 33
Page 64 and 65:
Team Approach • Identify potentia
Page 66 and 67:
Patient Assessment and Monitoring T
Page 68 and 69:
Respiratory Issues • Identifying
Page 70 and 71:
A Case Study: Utilization of Two HF
Page 72 and 73:
Kotzebue • Admitted to hospital o
Page 74 and 75:
Anchorage • Persistent bronchople
Page 76 and 77:
Initial chest x-ray in Tacoma
Page 78 and 79:
Day 3 • Systemic hypertension and
Page 80 and 81:
Day 4: Chest X-ray
Page 82 and 83:
Stabilizing the ET tube
Page 84 and 85:
Prone Positioning
Page 86 and 87:
Day 9: Chest X-ray
Page 88 and 89:
Day 15: Extubation • Weaned from
Page 90 and 91:
Day 25: Out of The PICU
Page 92 and 93:
Conclusion • RTs are an essential
Page 94:
Thank You Questions? jason.higgins@
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HFOV for Larger Pediatric and Adult Patients

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