Acta Médica del Centro (Jun 2015)
High frequency ventilation, a therapeutic option
Abstract
The oscillatory high frequency ventilation has emerged as a safe alternative to conventional methods of ventilation in the treatment of neonatal respiratory failure. That is why an observational study was made of retrospective descriptive type with qualitative and quantitative approach to characterize the behavior of high frequency ventilation in neonates treated in Neonatal Service at "Mariana Grajales" Gynecoobstetric University Hospital in Villa Clara between 2009 and 2014. The exhibition coincided with the universe and it was composed of 68 infants ventilated with high frequency. The information obtained was processed and statistically represented. It was found that the gestational age less than 34 weeks and less than 1500 grams were closely related to the ventilation mode; the failure of conventional mechanical ventilation in the hyaline membrane disease was the most common indication -these patients achieved better gasometrical recovery after used-; infants with less postnatal age had less prolonged stay at high frequency and better oxygenation-ventilation; Recovery was evident when ventilatory stay exceeded 24 hours and survival was achieved in more than half of newborns who used this therapy of ventilation.