High-Frequency Oscillatory Ventilation (HFOV) as Primary Ventilator Strategy in the Management of Severe Acute Respiratory Distress Syndrome (ARDS) with Pneumothorax in the Setting of Trauma

摘要

Acute respiratory distress syndrome (ARDS) is estimated to affect more than 150,000 patients annually in the United States. Although significant advances in critical care and strategies of mechanical ventilation have led to a decrease in associated morbidity, mortality in patients with ARDS continues to be significant. Although previous studies have identified differences between the ARDS seen in trauma patients as opposed to nontrauma and medical patients, there is a paucity of data supporting different management strategies predicated on the type of patients affected by ARDS.2 ARDS observed in trauma patients may be secondary to either the initial insult (i.e., pulmonary contusion, and thoracic trauma) or secondary to delayed processes such as sepsis.