Perspectives in High Frequency Ventilation: Proceedings of the international symposium held at Erasmus University, Rotterdam, 17–18 September 1982

343 Pages·1983·10.43 MB·English

by  A. Versprille (auth.), Paul A. Scheck, Ulf H. Sjöstrand, R. Brian Smith (eds.)

PERSPECTIVES IN HIGH FREQUENCY VENTILATION
DEVELOPMENTS IN CRITICAL CARE
MEDICINE AND ANESTHESIOLOGY
Other volumes in this series:
Prakash, Omar (ed.): Applied Physiology in Clinical Respiratory Care. 1982.
ISBN 90-247-2662-X.
McGeown, Mary G.: Clinical Management of Electrolyte Disorders. 1983.
ISBN 0-89838-559-8.
Klain, Miroslav: High Frequency Ventilation.
Scheck, P.A., Sjostrand, U.H., and Smith, R.B. (eds.): Perspectives in High Fre-
quency Ventilation. 1983. ISBN 0-89838-571-7.
Stanley, Th.H. and Petty, W.C.(eds.): New Anesthetic Agents, Devices and Monitor-
ing Techniques. 1983. ISBN 0-89838-566-0.
PERSPECTIVES IN HIGH
FREQUENCY VENTILATION
Proceedings of the international symposium held at Erasmus University,
Rotterdam, 17-18 September 1982
edited by
PAUL A. SCHECK
Erasmus University
Academic Hospital
Rotterdam, The Netherlands
ULF H. SJOSTRAND
University of Texas
San Antonio, TX, USA
Orebro Medical Center Hospital
Orebro, Sweden
R. BRIAN SMITH
University of Texas
San Antonio,TX, USA
1983 MARTINUS NIJHOFF PUBLISHERS
a member of the KLUWER ACADEMIC PUBLISHERS GROUP
BOSTON I THE HAGUE I DORDRECHT I LANCASTER
Distributors
for the United States and Canada: Kluwer Boston, Inc., 190 Old Derby Street,
Hingham, MA 02043, USA
for all other countries: Kluwer Academic Publishers Group, Distribution Center,
P .O.Box 322, 3300 AH Dordrecht, The Netherlands
Library of Congress Cataloging in Publication Data
Main entry under title:
Perqpectives in high frequency ventilation.
(Developments in critical care medicine and
anesthesiology; v. 4)
Proceedings of the International Symposium on
High Frequency Ventilation, held Sept. 1982 at Erasmus
University Medical School.
Includes index.
1. Respiratory therapy--Congresses. 2. Ventilation
--Congresses. r. Scheck, Paul A. II. Sjostrand, Ulf H.
III. Smith, R. Brian. IV. International Symposium on
High Frequency Ventilation (1982 : Erasmus Ul:iversity
Medical School) V. Erasmus Universiteit Rotterdam.
Faculteit der Geneeskunde. VI. Series. [DNLM:
1. Respiration, Artificia1--Congresses. WO 250 p46T
1982]
RCT35.15P4T 1983 616.2'40636 83-2386
ISBN-13: 978-94-009-6713-7 e-ISBN-13: 978-94-009-6711-3
001: 10.1007/978-94-009-6711-3
Copyright
© 1983 by Martinus Nijhoff Publishers, Boston.
Softcover reprint of the hardcover 1s t edition 1983
All rights reserved. No part of this publication may be reproduced, stored in a
retrieval system, or transmitted in any form or by any means, mechanical,
photocopying, recording, or otherwise, without the prior written permission of
the publishers,
Martinus Nijhoff Publishers, 190 Old Derby Street, Hingham, MA 02043, USA.
CON TEN T S
Preface XI
XIII
List of contributors
A. Experimental studies
A simple mathematical model of High Frequency Ventilation. 1
A. Versprille.
Development and clinical application of High Frequency Ventilation. 12
U.H. Sjostrand- L. Bunegin, R.B. Smith, ~i.F. Babinski.
Convective diffusion in oscillatory flow as a gas transport
mechanism during High Frequency Ventilation. 39
H.J. van Ouwerkerk, P. Gieles, J.M. Bogaard.
Pressure flow pattern and gas transport using various types of
High Frequency Ventilation. 51
M. Baum, H. Benzer, W. Goldschmied, N. Mutz.
A review of experimental and theoretical studies of High Frequency
Ventilation. 59
A.S. Slutsky, R.D. Kamm, J.M. Drazen.
Effects of High Frequency Jet Ventilation design and operational
variables upon arterial blood gas tensions. 71
J.M. Calkins, C.K. Waterson, S.F. Quan, H.W. Militzer,
Th.J. Conahan, C.W. Otto, S.R. Hameroff.
Airway pressure as a determining factor for ventilation and
81
haemodynamic efficiency during HFJV.
M. Jimenez Lendinez, J.A. Cambronero, J. Lopez, B. Galvan,
A. Garcia, R. Denia, A. Aguado.
B. Experimental studies and mechanics
High Frequency Ventilation: an experimental comparison of HFPPV
87
and HFJV.
U.H. Sjostrand, M.F. Babinski, U.R. Borg, R.B. Smith.
VI
Alveolar pressures during High Frequency Ventilation. 92
P.R. Fletcher.
Carbon dioxide clearance during High Frequency Jet Ventilation
93
(HFJV) .
J.L. Bourgain, A.J. Mortimer, M.K. Sykes.
105
Hemodynamic effects of High Frequency Ventilation.
F.R. Gioia, A.P. Harris, R.J. Traystman, M.C. Rogers.
115
Cardiovascular consequences of High Frequency Ventilation.
C.W. Otto, J.M. Calkins, S.F. Quan, Th.J. Conahan, C.K. Waterson,
S. R. Hameroff.
122
Pneumatic controlled circulation: PCC.
W.L. den Dunnen, T. Mostert.
C. ~1echanics and bloodgases
Microcomputer-based signal averager for analysis of pulsed gas
132
streams intended for use in High Frequency Jet Ventilation.
L. Deen, T. Dijkhuis.
Evaluation of a new valveless all purpose ventilator: effect of
ventilating frequency PEEP, PAC0 and PA0 on phrenic nerve
2 2
140
activity.
M.K. Chakrabarti, J.G. Whitwam.
146
Humidification of the respiratory tract in HFJV.
W. Fuchs, R. Fechner, E. Racenberg.
Efficiency of intrapulmonary gas distribution during High Frequency
Ventilation. 150
I. Eriksson.
Gas exchange in High Frequency Ventilation: an experimental study. 158
M. Klain.
Gasanalysis by masspectrometry during High Frequency Ventilation. 164
G. Rolly, L. Versichelen.
Digital ventilation. 172
M. Wendt, L. Freitag, F. Dankwart.
VII
D. Clinical use - part I
One lung High Frequency Ventilation for intrathoracic surgery. 178
N. EI-Baz, A. EI-Ganzouri, A. Ivankovich.
High Frequency Insufflation technique during endolaryngeal
microsurgery. 180
L. Versichelen, G. Rolly, H. Vermeersch.
Total intravenous anaesthesia during High Frequency Ventilation. 193
C. Mallios, P.A. Scheck.
High Frequency Ventilation for laser surgery of the larynx. 204
P.A. Scheck, C. Mallios, P. Knegt.
High Frequency Jet Ventilation via a nasotracheal tube for
surgery of the larynx and trachea. 212
W.K. Hirlinger, A. Deller, o. Sigg, W. Dick, H.H. Mehrkens.
E. Clinical use - part II
High Frequency positive pressure ventilation for major airway
surgery. 216
N. EI-Baz, A. EI-Ganzouri, A. Ivankovich.
High Frequency Jet Ventilation for pulmonary resection. 227
P. Moulaert, G. Rolly.
Clinical experience with High Frequency Ventilation. 233
M. Klain, J. Fine, A. Sladen, K. Guntupalli, J. Marquez,
H. Keszler.
Peri and postoperative application of various types of High
Frequency Ventilation (HFV). 240
H. Benzer, M. Baum, St. Duma, A. Geyer, N. Mutz.
High Frequency Jet Ventilation in the postoperative period. 251
A. Sladen, K. Guntupalli, M. Klain, C. McConaha.
VIII
F. Intensive Care
High Frequency Jet Ventilation compared to volume cycled
ventilation: a prospective randomized evaluation. 262
G.C. Carlon, J.S. Groeger.
Comparative studies of CPPV and HFPPV in critical care patients:
Clinical evaluation and studies on intrapulmonary gas distribution. 272
U.H. Sjostrand, U.R. Borg, I.A. Eriksson, R.B. Smith, L.M. Wattwil.
Alternatives to conventional ventilation. 284
T.J. Gallagher.
Combined High Frequency Ventilation for treatment of severe
respiratory failure. 292
N. El-Baz, A. El-Ganzouri, A. Ivankovich.
High Frequency Jet and intermittent positive pressure ventilation,
302
with PEEP: A comparison of peak and mean airway pressures.
A. Sladen, K. Guntupalli, f.l. Klain and R. Romano.
High Frequency Jet Ventilation and conventional ventilation: A
comparison of cardiorespiratory parameters. 305
A. Sladen, K. Guntupalli, M. Klain, R. Romano.
Early clinical experience with High Frequency in our UCI. 309
M. Jimenez Lendinez, J. Lopez Diez, J.A. Cambronero Galache,
M.A. Palma Gamiz, J.A. Lapuerta, A. Aguado ~latorras.
What is the role of transtracheal ventilation in emergency and
long-term respiratory support ? 314
M. Klain, H. Keszler.
High Frequency Ventilation and IPPV in the presence of a
bronchopleural fistula. 316
R.B. Smith, B.H. Hoff, E.V. Bennett, E.A. Wilson, F.L. Grover,
M.F. Babinski, U.H. Sjostrand.
IX
High Frequency Ventilation with topical anaesthesia as an aid
to physiotherapy. 319
C.J.J. Westerman, C.D. Laros, J.M. Dolk.
Index 325
PREFACE
In the last fifteen years, there has been increasing
interest in the experimental and clinical use of ventilation
at high respiratory frequencies. The International Symposium
on "High Frequency Ventilation" held at Erasmus University
Medical School in September 1982, was designed to bring
together researchers and individuals interested in this
field. They presented experimental and clinical data, and
exchange of information was encouraged. Individuals attended
from several European countries and from the United States.
The Symposium lasted two days and presentations were
assigned to various groups including experimental,
mechanical and clinical studies. On the final day, there was
a panel discussion on "HFV - Present and Future". Additional
features of the Symposium were film presentations and posters.
These proceedings contain the almost complete Symposium
presentations. As the format was an "Open Forum" it should
be emphasized that these proceedings have not undergone peer
review or major editorial changes. Thus, they are expressly
the opinions of the individual authors and not those of the
Symposium Committee, the Editors of the Proceedings, or the
Institutions of these individuals.
The Editors.