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Revista Archivo Médico de Camagüey

versión On-line ISSN 1025-0255

Resumen

TARTABULL POUTRIEL, Kiopper; RODRIGUEZ LOPEZ, Aquiles; NICOLAU PESTANA, Elizabeth  y  GONZALEZ MARTINEZ, Francisco. High-frequency ventilation: a therapeutic option of adult respiratory distress syndrome. AMC [online]. 2010, vol.14, n.2. ISSN 1025-0255.

Adult respiratory distress syndrome is one of the nosologic diseases most seriousness in patients admitted at intensive care units. A review on the use of high-frequency ventilation as a therapeutic option for these patients was conducted. For approximately one decade different ventilatory strategies are using in the treatment of distress, as the use of positive pressure to the end of the expiration and the maneuvers of alveolar recruitment. High-frequency ventilation arises as alternative in the treatment of those patients where conventional mechanical ventilation has failed; it is a ventilation mode where low tidal volumes and high respiratory frequencies are applied, for which is necessary the use of a special type of ventilation machine able to guarantee high respiratory frequencies. Nowadays the most used is the oscillatory ventilation of high frequency, its main advantages are to require less tidal volume, levels of pressure. It may combine with prone ventilation technique to achieve bigger effectiveness, mortality is smaller and less associated lesion to the mechanical ventilation takes place. The most frequent complications are the pneumothorax, the increment of central venous pressure and occlusion levels of the pulmonary artery with slight decrease of heart output.

Palabras clave : HIGH- FREQUENCY VENTILATION; RESPIRATORY DISTRESS SÍNDROME; ADULT [therapy]; INTENSIVE CARE UNITS.

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