HFOV - RT Connection

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Objectives • Brief history of HFOV • Who will benefit from HFOV • When should you initiate HFOV • How do you initiate HFOV • Oxygen strategies • Ventilation strategies • When do you discontinue HFOV
Klain & Smith HFJV 1977 HFOV in Animals 1982 A Brief History of HFV Animal Studies -Role of P-V in Lung Injury 1985 P-V Curve using Lung CT in ARDS 1987 APRV HFOV Approved For Use In Neonates 1991 FDA Approval of 1010 HFV 1993 HFOV Approved For Use in Peds 1995 Ventilator Strategies and Inflammatory Mediators 1997 HFOV Adults 1990 2001
Page 1: High Frequency Oscillatory Ventilat
Page 5 and 6: High Frequency Oscillatory Ventilat
Page 7 and 8: 3100B Ventilator •Approved for sa
Page 9 and 10: IS THERE A DIFFERENCE BETWEEN THE 3
Page 11 and 12: Who Will benefit from HFOV 3100B?
Page 13 and 14: HFOV 3100B • Only Pathology studi
Page 15 and 16: ARDS Pulmonary Injury Sequence •
Page 17 and 18: Ware and Matthay NEJM 342 (18): 133
Page 19 and 20: Ventilator Induced Lung Injury •
Page 21 and 22: Volutrauma • Lung overdistension
Page 23 and 24: Biotrauma • In addition to the me
Page 25 and 26: Lung Inflation Patterns on multi-Sc
Page 27: Pressure and Volume Swings During C
Page 30 and 31: Pressure and Volume Swings During H
Page 33 and 34: Breaking the Cycle!! Lung Recruitme
Page 38 and 39: Alexandre Rotta, M.D. 2004 HFOV and
Page 40 and 41: Ventilator Induced Lung Injury (VIL
Page 42 and 43: When Do you initiate HFOV?
Page 44 and 45: Current Trends in Conventional Vent
Page 46 and 47: volume above FRC (liters) 0 0.4 0.8
Page 48 and 49: How Do you initiate HFOV?
Page 50 and 51: �P Hz mPaw
Page 52 and 53:
HFOV = Super CPAP
Page 54 and 55:
Oxygen Strategies
Page 56 and 57:
Oxygenation - Clinical Tips • Ini
Page 58 and 59:
Oxygenation - Clinical Tips • Ens
Page 60 and 61:
Oxygenation CLINICAL TIPS- - Must h
Page 62 and 63:
Ventilation Strategies
Page 64 and 65:
Amplitude (ΔP) ( P) Power Knob
Page 67 and 68:
Primary Control for PaCO2 PaCO •
Page 69 and 70:
Ventilation Strategies • CWF- adj
Page 71 and 72:
Amplitude Attenuation
Page 73 and 74:
Frequency (Hertz)
Page 75 and 76:
Initial Frequency Settings • Guid
Page 77 and 78:
Frequency 4 Hz Lets consider a time
Page 79 and 80:
Frequency 4 Hz The higher the frequ
Page 81 and 82:
Ventilation Secondary control of Pa
Page 83 and 84:
How Should HFOV be Initiated? • A
Page 85 and 86:
HFOV - Weaning Strategy • Wean Fi
Page 87 and 88:
Low Vt and High PEEP PRVC, f 24, Vt
Page 89 and 90:
HFOV - Weaning Strategy continued..
Page 91 and 92:
Clinical Strategies • mPaw can be
Page 93 and 94:
“Wiggle Factor” • Reassess af
Page 95 and 96:
Sedation/Neuromuscular Blockade •
Page 97 and 98:
Chest Radiographs • Typically obt
Page 99 and 100:
Sustained Inflation (LRM) • A sus
Page 101 and 102:
Potential Complications of HFOV •
Page 103 and 104:
Clinical Assessment • Chest x-ray
Page 105 and 106:
Clinical Assessment • Cardiac Fun
Page 107 and 108:
Patient Care • Suctioning - Indic
Page 109 and 110:
Patient Care • Bronchodilator The
Page 111 and 112:
Lung Recruitment with HFOV PCV (mPa
Page 113 and 114:
Summary • Treatment of ARDS conti
Page 115:
HFOV Patient Care
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HFOV - RT Connection

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