Case Report
Protective ventilation in ARDS: as soon as possible. An immediate use of HFOV
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* Corresponding author: Philippe P Goutorbe goutorbephil@live.fr
Military teaching hospital Sainte Anne ICU department, Toulon, France
Cases Journal 2008, 1:124 doi:10.1186/1757-1626-1-124
Published: 22 August 2008Abstract
Objective
To report the immediate use of High-Frequency Oscillatory ventilation in an adult acute respiratory distress syndrome.
Design
Case report.
Setting
Intensive care unit at the Military Teaching Hospital of Toulon.
Patient
A 64-yr-old Caucasian male who developed acute respiratory distress syndrome in the course of severe falciparum malaria.
Intervention
Initial use of HFO to minimise ventilator-induced lung injury.
Measurement and Main Results
Rapid improvement of PaO2/fraction of inspired oxygen from 172 mmHg (NIV) to 310 mmHg with HFO. No ventilator-induced injury on CT scan after 5 days of invasive ventilation.
Conclusion
In contrast with previous studies, we successfully used lung protective ventilation with HFO immediately. Further studies, with immediate, rather than rescue use of HFO ventilation, are needed.