The following are case presentations of patients with whom high frequency ventilation was used. There is a discussion of how each case progressed and the reasoning behind each decision that was made. Each patient is different and may respond differently to the clinical decisions made. It is important to assess and reassess the patient after each change.
Vital signs are normal unless otherwise stated.
Case 1 A 27 week gestational premature infant with an admission weight of 1095gm is admitted to rule out sepsis. He is admitted for pneumonia, fever 103'F, and a left upper lobe infiltrate. A repeat umbilical blood gas pH is 7.10. NaHCO3 are given intravenously and blood cultures are drawn. Intravenous Ampicillin and Gentamicin are given.