HFOV - High Frequency Oscillatory Ventilation

51
Dr Naveen Kumar Cheri S.V. Medical College, Tirupati

Transcript of HFOV - High Frequency Oscillatory Ventilation

Dr Naveen Kumar CheriS.V. Medical College, Tirupati

o

o

o

o

o

o

o

o

o

o

o

o

Dr Naveen Kumar CheriS.V. Medical College, Tirupati

Dr Naveen Kumar CheriS.V. Medical College, Tirupati

BAROTRAUMAHigh peak airway

pressures

Transfer of air from airway to

interstitial space

Pneumothorax, pneumomediastinum, pneumopericardium,

subcutaneous emphysema

VOLUTRAUMALung over distension

Diffuse alveolar damage, damage

to pulmonary capillary

membrane

Increased permeability leading to pulmonary

edema

ATELECTRAUMA

Low end-expiratory volumes,

qualitative & quantitative loss

of surfactant

Under recruited alveoli

Repetitive opening and collapse of such alveoli lead to shear stress &

damage

BIOTRAUMA

PPV activates inflammatory

cascade

Inflammatory mediators

Local and systemic effects

Dr Naveen Kumar CheriS.V. Medical College, Tirupati

Dr Naveen Kumar CheriS.V. Medical College, Tirupati

Dr Naveen Kumar CheriS.V. Medical College, Tirupati

Dr Naveen Kumar CheriS.V. Medical College, Tirupati

Dr Naveen Kumar CheriS.V. Medical College, Tirupati

Dr Naveen Kumar CheriS.V. Medical College, Tirupati

Dr Naveen Kumar CheriS.V. Medical College, Tirupati

Dr Naveen Kumar CheriS.V. Medical College, Tirupati

INJURY

INJURY

CMV

HFOV

Dr Naveen Kumar CheriS.V. Medical College, Tirupati

Dr Naveen Kumar CheriS.V. Medical College, Tirupati

•Dr Naveen Kumar Cheri

S.V. Medical College, Tirupati

Dr Naveen Kumar CheriS.V. Medical College, Tirupati

Dr Naveen Kumar CheriS.V. Medical College, Tirupati

Dr Naveen Kumar CheriS.V. Medical College, Tirupati

Dr Naveen Kumar CheriS.V. Medical College, Tirupati

Dr Naveen Kumar CheriS.V. Medical College, Tirupati

Dr Naveen Kumar CheriS.V. Medical College, Tirupati

Dr Naveen Kumar CheriS.V. Medical College, Tirupati

Dr Naveen Kumar CheriS.V. Medical College, Tirupati

Dr Naveen Kumar CheriS.V. Medical College, Tirupati

Dr Naveen Kumar CheriS.V. Medical College, Tirupati

Dr Naveen Kumar CheriS.V. Medical College, Tirupati

Dr Naveen Kumar CheriS.V. Medical College, Tirupati

Δ

Dr Naveen Kumar CheriS.V. Medical College, Tirupati

Dr Naveen Kumar CheriS.V. Medical College, Tirupati

Δ

Dr Naveen Kumar CheriS.V. Medical College, Tirupati

Dr Naveen Kumar CheriS.V. Medical College, Tirupati

Dr Naveen Kumar CheriS.V. Medical College, Tirupati

Dr Naveen Kumar CheriS.V. Medical College, Tirupati

Dr Naveen Kumar CheriS.V. Medical College, Tirupati

Dr Naveen Kumar CheriS.V. Medical College, Tirupati

Dr Naveen Kumar CheriS.V. Medical College, Tirupati

Dr Naveen Kumar CheriS.V. Medical College, Tirupati

Time X

Dr Naveen Kumar CheriS.V. Medical College, Tirupati

Time X

Dr Naveen Kumar CheriS.V. Medical College, Tirupati

Dr Naveen Kumar CheriS.V. Medical College, Tirupati

Dr Naveen Kumar CheriS.V. Medical College, Tirupati

Dr Naveen Kumar CheriS.V. Medical College, Tirupati

Dr Naveen Kumar CheriS.V. Medical College, Tirupati

Dr Naveen Kumar CheriS.V. Medical College, Tirupati

Dr Naveen Kumar CheriS.V. Medical College, Tirupati

Dr Naveen Kumar CheriS.V. Medical College, Tirupati

Dr Naveen Kumar CheriS.V. Medical College, Tirupati

Dr Naveen Kumar CheriS.V. Medical College, Tirupati

•Dr Naveen Kumar Cheri

S.V. Medical College, Tirupati

Dr Naveen Kumar CheriS.V. Medical College, Tirupati

1. Goldsmith & Karotkin - Assisted Ventilation of Neonate

2. Pediatric & Neonatal Mechanical Ventilation – Praveen Khilnani -

2nd Ed

3. High Frequency Oscillatory Ventilation – Kathleen Ventre & John

Arnold in Pediatric and Neonatal Respiratory Diseases – Springer

Publications

4. High Frequency Oscillatory Ventilation - Presentation by Vinod

Kumar Gupta & Ira Chiefetz, Duke Childrens Hospital, North

Carolina

5. HFOV – Anesthesia Tutorial of The Week 261 by Sarah Jarvis et al.

6. Sensormedics 3100A Operator Manual – Viasys Health Care

7. HFOV Basics & Practial Applications - Drager Babylog 8000

Manual – Rainer Stachow

8. HFOV – Presentation by Dr Nalinikanth Panigrahy, Rainbow

Hospitals Dr Naveen Kumar CheriS.V. Medical College, Tirupati

Dr Naveen Kumar CheriS.V. Medical College, Tirupati