Case report shows improved ventilation in a patient with respiratory failure, suggesting effective tandem therapies.
A 56-year-old white man developed bilateral staphylococcal pneumonia with resulting acute respiratory failure following an open-lung biopsy. Conventional volume ventilation (CVV) resulted in barotrauma, consisting of a large pneumatocele and pneumothorax, and high frequency jet ventilation (HFJV) was also inadequate to maintain ventilation. However, when CVV and HFJV were used in tandem, adequate ventilation was achieved at lower airway pressures.
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Puff et al. (1986) studied this question.
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