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Rescue high-frequency oscillatory ventilation combined with intermittent mandatory ventilation for infants with acute respiratory distress syndrome after congenital heart surgery

Published online by Cambridge University Press:  01 August 2022

Yi-Rong Zheng Open the ORCID record for Yi-Rong Zheng [Opens in a new window] ,
Shi-Hao Lin ,
Yu-Kun Chen ,
Hua Cao Open the ORCID record for Hua Cao [Opens in a new window]  and
Qiang Chen Open the ORCID record for Qiang Chen [Opens in a new window]
Yi-Rong Zheng
Affiliation:
Department of Cardiac Surgery, Fujian Branch of Shanghai Children’s Medical Center, Fuzhou, China Fujian Children’s Hospital, Fuzhou, China Fujian Maternity and Child Health Hospital College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Fuzhou, China Fujian Key Laboratory of Women and Children’s Critical Diseases Research, Fujian Maternity and Child Health Hospital, Fuzhou, China
Shi-Hao Lin
Affiliation:
Department of Cardiac Surgery, Fujian Branch of Shanghai Children’s Medical Center, Fuzhou, China Fujian Children’s Hospital, Fuzhou, China Fujian Maternity and Child Health Hospital College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Fuzhou, China Fujian Key Laboratory of Women and Children’s Critical Diseases Research, Fujian Maternity and Child Health Hospital, Fuzhou, China
Yu-Kun Chen
Affiliation:
Department of Cardiac Surgery, Fujian Branch of Shanghai Children’s Medical Center, Fuzhou, China Fujian Children’s Hospital, Fuzhou, China Fujian Maternity and Child Health Hospital College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Fuzhou, China Fujian Key Laboratory of Women and Children’s Critical Diseases Research, Fujian Maternity and Child Health Hospital, Fuzhou, China
Hua Cao
Affiliation:
Department of Cardiac Surgery, Fujian Branch of Shanghai Children’s Medical Center, Fuzhou, China Fujian Children’s Hospital, Fuzhou, China Fujian Maternity and Child Health Hospital College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Fuzhou, China Fujian Key Laboratory of Women and Children’s Critical Diseases Research, Fujian Maternity and Child Health Hospital, Fuzhou, China
Qiang Chen*
Affiliation:
Department of Cardiac Surgery, Fujian Branch of Shanghai Children’s Medical Center, Fuzhou, China Fujian Children’s Hospital, Fuzhou, China Fujian Maternity and Child Health Hospital College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Fuzhou, China Fujian Key Laboratory of Women and Children’s Critical Diseases Research, Fujian Maternity and Child Health Hospital, Fuzhou, China
*
Author for correspondence: Qiang Chen, MD, Fujian Children’s Hospital, 966 Hengyu Road, Jinan District, Fuzhou 350001, P.R. China. Tel: +86-591-8750-1062; Fax: +86-591-8632-9322. E-mail: chenqiang2228@163.com
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Abstract

Background:

This study aimed to evaluate the efficacy and safety of high-frequency oscillation ventilation combined with intermittent mandatory ventilation in infants with acute respiratory distress syndrome after congenital heart surgery.

Methods:

We retrospectively analysed the clinical data of 32 infants who were ventilated due to acute respiratory distress syndrome after congenital heart surgery between January, 2020 and January, 2022. We adopted high-frequency oscillation ventilation combined with intermittent mandatory ventilation as the rescue ventilation mode for infants who were failing conventional mechanical ventilation.

Results:

After rescue high-frequency oscillation ventilation combined with intermittent mandatory ventilation, the dynamic compliance (Cdyn), PaO2 and PaO2/FiO2 ratio of the infants improved compared with conventional mechanical ventilation (p < 0.05). Moreover, high-frequency oscillation ventilation combined with intermittent mandatory ventilation resulted in a significant decrease in arterial-alveolar oxygen difference (AaDO2), FiO2, and oxygenation index (p < 0.05). No significant effect on haemodynamic parameters was observed. Moreover, no serious complications occurred in the two groups.

Conclusion:

Rescue high-frequency oscillation ventilation combined with intermittent mandatory ventilation significantly improved oxygenation in infants who failed conventional mechanical ventilation for acute respiratory distress syndrome after congenital heart surgery. Thus, this strategy is considered safe and feasible. However, further studies must be conducted to confirm the efficacy and safety of high-frequency oscillation ventilation combined with intermittent mandatory ventilation as a rescue perioperative respiratory support strategy for CHD.

Keywords

High-frequency oscillatory ventilationintermittent mandatory ventilationacute respiratory distress syndromecongenital heart surgeryinfant
Type
Original Article
Information
Cardiology in the Young , Volume 33 , Issue 7 , July 2023 , pp. 1165 - 1171
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Copyright
© The Author(s), 2022. Published by Cambridge University Press

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Footnotes

*

These authors share the corresponding authorship.

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