A learning experience in the use of high-frequency oscillatory ventilation in infants post-cardiac surgery
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We have a dedicated intensive care unit (ICU) for post-cardiac surgery infants with rapid turnover. We want to bring to the reader’s attention the feasibility of using high-frequency oscillatory ventilation (HFOv) in these babies especially those with severe pulmonary artery hypertension and pulmonary hemorrhage as its complication. We managed three such babies in the past 6 months, who were stabilized on HFOv (Carefusion 3100B).
The first baby was a 17-day-old, 2.3-kg neonate with ventricular septal defect (VSD) and coarctation of aorta (COA). He was brought to us in a state of septic shock with acute heart failure. He was medically stabilized and pulmonary artery banding with COA repair was done as a part of planned staged surgical procedure. He had a long post-operative course with inability to wean off ventilation and underwent subsequent tracheostomy. He developed ventilator-associated pneumonia with pulmonary hemorrhage on post-op day 45. HFOv was started when the baby failed to...
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