New method of high frequency jet non-invasive assisted ventilation

Introduction : non-invasive ( NIAV) respiratory support has been a significant decrease in the number of complications, because excludes problems directly related to intubation or tracheostomy. The most common method NIAV is currently Traditional Mask, the use of which a problems : respiratory gas leak, skin erosion and necrosis, limitation of verbal capabilities. In our clinic successfully applied a fundamentally new form of respiratory support: catheter high frequency jet non-invasive assisted ventilation (HFJNIAV) Material and Methods: The study was carried out in the immediate postoperative period in 34 patients who underwent surgery for lung. Traditional respiratory support (NIAV) via a face mask made during CPAP (ZisLine MV-200). HFJNIAV with ventilator ZisLine JV-100 through nasopharyngeal catheter, placed into the oropharynx through the lower nostril. Results: The use of HFJNIAV noted the following changes in comparison with NIAV : improved oxygenation of arterial blood - 89% increases paO2 (378,9±70,5 mmHg vs 200,4±79,0 mmHg) . Coefficient of arterial blood oxygenation increases by 20 % (468,6±66 vs 387,1±51,4). More than 2-fold increase of peripheral capillaries filling (3,89±1,49% vs 1,65±1,22%). Conclusion: HFJNIAV corrects oxygen status at the expense of adequate oxygenation. HFJNIAV principle does not require sealing of the breathing circuit, provides comfort for the patient, a simple implementation techniques of respiratory support - is used instead of a thin catheter sealed mask that does not create inconvenience to the patient by talking, does not restrict the mobility of the patient is not able to cause complications that are typical mask ventilation .