HFOV for Larger Pediatric and Adult Patients

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Objectives • Discuss the history of HFV • Who is the patient that benefits from HFOV? • Why is HFOV used for ARDS? • When to initiate HFOV? • How to manage HFOV? • What is YOUR role as an RT? • A Case Study
Page 1: HFOV for Larger Pediatric and Adult
Page 9 and 10: Yandell Henderson • Cardiorespira
Page 11 and 12: History of High Frequency Ventilati
Page 16 and 17: Types of High Frequency Ventilators
Page 18 and 19: HFOV 3100A •FDA cleared in 1991 f
Page 24: More clinical data is on the way!!
Page 28 and 29: Acute Respiratory Distress Syndrome
Page 30 and 31: ARDS???? mP AW = 22 PaO 2 /F I O 2
Page 32 and 33: Ventilator Induced Lung Injury •
Page 34 and 35: Lung Inflation Patterns on multi-Sc
Page 36 and 37: Pressure and Volume Swings During C
Page 38 and 39: Gary Nieman, et al. SUNY Upstate Me
Page 40 and 41: APRV, Bi-Level, Bi-Vent During thes
Page 42 and 43: Should you treat ARDS with HFOV?
Page 44 and 45: Pressure and Volume Swings During H
Page 46 and 47: You can damage the lung with HFOV!!
Page 49 and 50: Thinking of starting HFOV??? Don’
Page 51 and 52: Toronto HFOV Study Survivors vs. No
Page 53 and 54:
HFOV 3100B System HFOV is an electr
Page 55 and 56:
HFOV 3100B Power-Amplitude • High
Page 57 and 58:
Pressure Attenuation Gary Nieman, e
Page 59 and 60:
HFOV 3100B Inspiratory Time % • %
Page 61 and 62:
What is the Role of the RT During H
Page 63 and 64:
What is the Role of the RT During H
Page 65 and 66:
Team Approach • Facilitates commu
Page 67 and 68:
Patient Assessment and Monitoring T
Page 69 and 70:
Respiratory Issues • There’s be
Page 71 and 72:
Kotzebue, Alaska lies on a gravel s
Page 73 and 74:
Anchorage • Intubated and continu
Page 75 and 76:
Anchorage to Tacoma 1,800-mile tran
Page 77 and 78:
Initial Arterial Blood Gases • pH
Page 79 and 80:
Day 3: Double “B’s”
Page 81 and 82:
As if this was not enough….placed
Page 83 and 84:
Chaos . . .
Page 85 and 86:
Day 9 • Continued on the “doubl
Page 87 and 88:
Day 12 • Taken to the operating r
Page 89 and 90:
Day 15: Post Extubation
Page 91 and 92:
Day 45: Back to Anchorage
Page 93 and 94:
Conclusion • Change is good . . .
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HFOV for Larger Pediatric and Adult Patients

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