Is it time to increase the frequency of use of high-frequency oscillatory ventilation?

被引:0
作者
Jeffrey M Singh
Niall D Ferguson
机构
[1] University Health Network,Lecturer, Interdepartmental Division of Critical Care Medicine, and Department of Medicine, Division of Respirology
[2] University of Toronto,Assistant Professor, Interdepartmental Division of Critical Care Medicine, and Department of Medicine, Division of Respirology
[3] University Health Network,undefined
[4] University of Toronto,undefined
来源
Critical Care | / 9卷
关键词
Acute Respiratory Distress Syndrome; Oxygenation Index; Acute Respiratory Distress Syndrome Patient; Conventional Mechanical Ventilation; Conventional Ventilation;
D O I
暂无
中图分类号
学科分类号
摘要
In this issue of Critical Care, Bollen and colleagues present the results of a multicentre randomised controlled trial, comparing high-frequency oscillatory ventilation with conventional ventilation as the primary ventilation mode for adults with acute respiratory distress syndrome. The study was stopped early after recruiting only 61 patients because of declining enrolment, and although no differences were detected in any primary or secondary endpoint, this trial only had sufficient power to detect extreme differences in outcomes between groups. This editorial attempts to put these results in context with previous work and highlights challenges to be addressed in future studies.
引用
收藏
相关论文
共 70 条
[1]  
Bollen CW(2005)High frequency oscillatory ventilation compared with conventional mechanical ventilation in adult respiratory distress syndrome: a randomized controlled trial Crit Care 9 R430-R439
[2]  
van Well GT(2005)High-frequency oscillatory ventilation: lessons from the neonatal/pediatric experience Crit Care Med 33 S115-S121
[3]  
Sherry T(2004)High-frequency oscillatory ventilation in adults: the Toronto experience Chest 126 518-527
[4]  
Beale RJ(1997)High-frequency oscillatory ventilation for adult respiratory distress syndrome – a pilot study Crit Care Med 25 937-947
[5]  
Shah S(2001)A prospective trial of high frequency oscillatory ventilation in adults with acute respiratory distress syndrome Crit Care Med 29 1360-1369
[6]  
Findlay GP(2002)High frequency oscillatory ventilation for acute respiratory distress syndrome: a randomized controlled trial Am J Resp Crit Care Med 166 801-808
[7]  
Monchi M(2004)Screening of ARDS patients with standardized ventilator settings: influence on enrollment in a clinical trial Intensive Care Med 30 1111-1116
[8]  
Chiche JD(2001)Why randomized controlled trials fail but needn't: 2. Failure to employ physiological statistics, or the only formula a clinician-trialist is ever likely to need (or understand!) CMAJ 165 1226-1237
[9]  
Weiler N(1996)The Provo multicenter early high-frequency oscillatory ventilation trial: improved pulmonary and clinical outcome in respiratory distress syndrome Pediatrics 98 1044-1057
[10]  
Uiterwaal CS(2005)Combining high-frequency oscillatory ventilation and recruitment maneuvers in adults with early acute respiratory distress syndrome: the Treatment with Oscillation and an Open Lung Strategy (TOOLS) Trial pilot study Crit Care Med 33 479-486