High-frequency oscillatory ventilation as a rescue therapy for adult trauma patients

Steven Briggs, Claudia E. Goettler, Paul J Schenarts, Mark A. Newell, Scott G. Sagraves, Michael R. Bard, Eric A. Toschlog, Michael F. Rotondo

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Background: High-frequency oscillatory ventilation is an alternative ventilation mode that improves oxygenation in trauma patients in whom conventional ventilation strategies have been unsuccessful. Objective: To evaluate the effect of high-frequency oscillatory ventilation on oxygenation, survival, and parameters predictive of survival in trauma patients. Methods: A retrospective case series of 24 adult patients admitted to the trauma intensive care unit at a level I trauma center between November 2001 and July 2005 and treated with high-frequency oscillatory ventilation. Survivors and nonsurvivors were compared for mechanism and severity of injury, oxygenation parameters related to high-frequency oscillatory ventilation, and hospital course. Results Of the 8577 patients admitted during the study period, acute respiratory distress syndrome developed in 103 (1%). Of those 103 patients, 24 (23%) were treated with highfrequency oscillatory ventilation. Most of the patients treated with high-frequency oscillatory ventilation had sustained blunt trauma (79%). Oxygenation parameters improved significantly with high-frequency oscillatory ventilation in all patients, regardless of survival. Of the 24 patients treated with this ventilation mode, 15 (62%) survived. Survival did not correlate with improved oxygenation parameters but with the number of failed organ systems and injury severity. Conclusion: Although high-frequency oscillatory ventilation improves oxygenation, severity of traumatic injury and organ failure, not respiratory parameters, are predictors of survival. High-frequency oscillatory ventilation should be considered for pulmonary rescue of severely injured patients with acute respiratory distress syndrome.

Original languageEnglish (US)
Pages (from-to)144-148
Number of pages5
JournalAmerican Journal of Critical Care
Volume18
Issue number2
DOIs
StatePublished - Mar 1 2009

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High-Frequency Ventilation
Wounds and Injuries
Ventilation
Survival
Therapeutics
Adult Respiratory Distress Syndrome
Trauma Centers
Respiratory Insufficiency
Intensive Care Units
Survivors
Lung

ASJC Scopus subject areas

  • Critical Care

Cite this

Briggs, S., Goettler, C. E., Schenarts, P. J., Newell, M. A., Sagraves, S. G., Bard, M. R., ... Rotondo, M. F. (2009). High-frequency oscillatory ventilation as a rescue therapy for adult trauma patients. American Journal of Critical Care, 18(2), 144-148. https://doi.org/10.4037/ajcc2009303

High-frequency oscillatory ventilation as a rescue therapy for adult trauma patients. / Briggs, Steven; Goettler, Claudia E.; Schenarts, Paul J; Newell, Mark A.; Sagraves, Scott G.; Bard, Michael R.; Toschlog, Eric A.; Rotondo, Michael F.

In: American Journal of Critical Care, Vol. 18, No. 2, 01.03.2009, p. 144-148.

Research output: Contribution to journalArticle

Briggs, S, Goettler, CE, Schenarts, PJ, Newell, MA, Sagraves, SG, Bard, MR, Toschlog, EA & Rotondo, MF 2009, 'High-frequency oscillatory ventilation as a rescue therapy for adult trauma patients', American Journal of Critical Care, vol. 18, no. 2, pp. 144-148. https://doi.org/10.4037/ajcc2009303
Briggs, Steven ; Goettler, Claudia E. ; Schenarts, Paul J ; Newell, Mark A. ; Sagraves, Scott G. ; Bard, Michael R. ; Toschlog, Eric A. ; Rotondo, Michael F. / High-frequency oscillatory ventilation as a rescue therapy for adult trauma patients. In: American Journal of Critical Care. 2009 ; Vol. 18, No. 2. pp. 144-148.
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