Independent high-frequency oscillatory ventilation in the management of asymmetric acute lung injury

Anesth Analg. 2005 Jun;100(6):1793-1796. doi: 10.1213/01.ANE.0000151161.36330.CF.


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.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aortic Valve / surgery
  • Coronary Artery Bypass
  • Heart Valve Prosthesis Implantation
  • High-Frequency Ventilation*
  • Humans
  • Lung / diagnostic imaging
  • Lung / surgery
  • Lung Injury*
  • Lung Neoplasms / surgery
  • Male
  • Positive-Pressure Respiration
  • Respiratory Mechanics
  • Tomography, X-Ray Computed