High-frequency ventilation: Oscillatory dynamics

OBJECTIVES: DESIGN: SETTING: SUBJECTS: INTERVENTIONS: RESULTS: CONCLUSIONS:a) The delivered volume has to be monitored under clinical conditions; b) however, because the impedance of the endotracheal tube in general considerably exceeds the impedance of the lung, the influence of the impedance of th...

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Veröffentlicht in:Critical care medicine 1994-09, Vol.22 (9 SUPPL.), p.S58-S65
Hauptverfasser: Niederer, Peter F, Leuthold, Rudolf, Bush, Eric H, Spahn, Donath R, Schmid, Edith R
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container_end_page S65
container_issue 9 SUPPL.
container_start_page S58
container_title Critical care medicine
container_volume 22
creator Niederer, Peter F
Leuthold, Rudolf
Bush, Eric H
Spahn, Donath R
Schmid, Edith R
description OBJECTIVES: DESIGN: SETTING: SUBJECTS: INTERVENTIONS: RESULTS: CONCLUSIONS:a) The delivered volume has to be monitored under clinical conditions; b) however, because the impedance of the endotracheal tube in general considerably exceeds the impedance of the lung, the influence of the impedance of the lung on the delivered volume is generally small, and thus an in vitro calibration may serve as a useful approximation; c) at least two independent quantities are needed for an adequate oscillatory control; d) a necessary (not necessarily sufficient) condition for adequate CO2 removal is that the delivered volume must exceed the machine-related deadspace; e) in a clinical environment involving extremely pathologic lung conditions, e.g., adult respiratory distress syndrome, mechanical lung characteristics may deviate substantially from those characteristics used in this study (i.e., the results obtained may not necessarily be applicable under all clinical situations). (Crit Care Med 1994; 22:S58-S65)
doi_str_mv 10.1097/00003246-199422091-00005
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source MEDLINE; Journals@Ovid Ovid Autoload
subjects Animals
Dogs
High-Frequency Ventilation - instrumentation
Lung - physiology
Models, Biological
Pulmonary Gas Exchange - physiology
Space life sciences
Tidal Volume
title High-frequency ventilation: Oscillatory dynamics
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