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Anesth Analg 2005;100:1793-1796
© 2005 International Anesthesia Research Society
doi: 10.1213/01.ANE.0000151161.36330.CF

CRITICAL CARE AND TRAUMA

Independent High-Frequency Oscillatory Ventilation in the Management of Asymmetric Acute Lung Injury

Pierpaolo Terragni, MD*, Giulio L. Rosboch, MD*, Eleonora Corno, MD*, Eleonora Menaldo, MD*, Andrea Tealdi, MD*, Piero Borasio, MD{dagger}, Ottavio Davini, MD{ddagger}, Aurelio G. Viale, MD*, and V. Marco Ranieri, MD*

*Dipartimento di Discipline Medico-Chirurgiche, Sezione di Anestesia e Rianimazione, Università di Torino, Ospedale S. Giovanni Battista-Molinette, Torino, Italy; {dagger}Sezione di Chirurgia Toracica, Università di Torino, Ospedale S. Luigi, Torino, Italy; and {ddagger}Servizio di Radiologia d’urgenza, Ospedale S. Giovanni Battista-Molinette, Torino, Italy

Address correspondence and reprint requests to V. Marco Ranieri, MD, Dipartimento di Discipline Medico-Chirurgiche, Sezione di Anestesiologia e Rianimazione, Università di Torino, Ospedale S. Giovanni Battista, Corso Dogliotti 14, 10126 Torino, Italy. Address e-mail to marco.ranieri{at}unito.it.

We present a case of independent lung ventilation in an adult with asymmetric acute lung injury. We applied a conventional protective ventilatory strategy to the more homogeneously infiltrated lung and high-frequency oscillatory ventilation to the almost totally collapsed lung, because a conventional protective strategy exposed this lung to plateau pressure more than 30 cm H2O, whereas high-frequency oscillatory ventilation provided sufficient gas exchange at safer pressure levels. Analysis of a lung computed tomography scan was used to evaluate the efficacy of the ventilatory strategy.






Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2005 by the International Anesthesia Research Society.