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Research: Use of intraoperative high frequency oscillatory ventilation in neonates with pulmonary hypoplasia

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Research: Use of intraoperative high frequency oscillatory ventilation in neonates with pulmonary hypoplasia

Rev Esp Anestesiol Reanim (Engl Ed)

. 2022 Oct 8;S2341-1929(22)00154-8.

 doi: 10.1016/j.redare.2021.05.018. Online ahead of print. https://pubmed.ncbi.nlm.nih.gov/36220732/

Use of intraoperative high frequency oscillatory ventilation in neonates with pulmonary hypoplasia

B Cabeza Martín 1M Arellano Pulido 2R Arellano Pulido 2I Pescador Chamorro 3A Peleteiro Pensado 2L Barragán González 2

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Abstract

High-frequency oscillatory ventilation (HFOV) is a ventilatory modality widely used in neonatal intensive care units. Its main indication is restrictive lung pathology with difficult gas exchange using conventional mechanical ventilation (CMV). Patients receiving CMV require high intensity care, and immature lungs can be at risk for barotrauma and volutrauma. The few studies that have explored the use of HFOV in the operating room are mainly limited to HFVO during congenital diaphragmatic hernia repair. Limited experience of this ventilatory method in the operating room may be a disadvantage for the anesthesiologist. However, it is important to remember the benefits of this technique as a lung protection strategy. We report two cases of neonatal pulmonary hypoplasia of different etiology in which good oxygenation and ventilation was achieved with intraoperative HFOV.

Keywords: High-frequency oscillatory ventilation; Hipoplasia pulmonar; Lung protection; Neonate; Neonato; Protección pulmonar; Pulmonary hypoplasia; Ventilación de alta frecuencia oscilatoria.

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