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? 2. Neonatal Uses of HFOV
3. HFOV Adult Indications
4. Oxygenation Index
5.
HFOV Adult Patient Selection 6. HFOV - Why 7. HFOV Objectives
8. Carney, CCM 2005 9. CMV vs HFOV 10. HFOV- When
11. 53% 67% 31%37% 31% 30% 30 day mortality 5.1 5.7 7.2 2.7 4 # of days CV pre HFOV 49 33 28 24 12 29 OI 23 22 27 22 25 APACHE II 17 24 16 75 432 70 n Fort (1997) Mehta (2001) Anderson (2002) MOAT II (2002) ARDS Net (2000) Duke (2005) 12. 13. HFOV - Where?
14. HFOV - What? 15. HFOV
16. HFOV Design
17. Ventilator Settings
18. CO 2Removal
19. Primary control of CO 2is by the stroke volume produced by the Power Setting 20. CO 2Removal 21. . 22. HFOV Settings: Inspiratory Time %
23. Oxygenation
24. Oxygenation
25. HFOV Controls PaO 2 PaCO 2 26. Bias Flow CDP Control Balloon x 27. Pressure to Lung 28. HFOV Pressure Attenuation 29. 30. Mechanisms of Gas Exchange 31. HFOV - How Initial Settings
32. Clinical Observations
33. Weaning
34. HFOV: Conversion
35. Signs of Failure
44. HFOV: Initiation
45. Management: Strategy
46. Management: 24 hours
47. HFOV Day 7
48. 49. Why did HFOV succeed?
50. Derdak AJRCCM 2002 51. HFOV Summary