Identifying patients for high-frequency oscillatory ventilation
Patients with ALI or ARDS, weighing 35 kilograms or greater, who are currently
failing on conventional ventilation with a protective lung strategy, will benefit from
HFOV. The following criteria are generally used for determining the feasibility of
using HFOV.
•
FiO
≥ 60, PEEP ≥ 10 with a P/F ratio < 200
2
•
Plateau pressure > 30 cmH
•
Presence of bilateral infiltrates on the chest x-ray consistent with ARDS
•
Oxygenation index > 24
Note:
Several clinical papers and randomized control trials have
demonstrated that the earlier application of HFOV on patients with
severe ARDS may be important for successful outcomes.
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