High Frequency Oscilatory Ventilation – Current update

• Main Authors: Farhan Shaikh, Dinesh Chirla
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2015-01-01
• Series: Journal of Pediatric Critical Care
• Subjects: hfov; high frequency ventilation; children; pediatric.
• Online Access: http://www.jpcc.org.in/article.asp?issn=2349-6592;year=2015;volume=2;issue=1;spage=37;epage=46;aulast=Shaikh

This article intends to review literature on high frequency oscillatory ventilation and describe its main clinical applications for children. There is increasing evidence that strategies aimed at preventing ventilator-induced lung injury, such as ventilating with low tidal volumes, can reduce mortality in patients with acute respiratory distress syndrome (ARDS). High-frequency oscillatory ventilation (HFOV) seems ideally suited as a lung-protective strategy for these patients. HFOV provides both active inspiration and expiration at frequencies generally between 3 and 15 Hz 111 children and neonate. The review describes high frequency oscillatory ventilation in children with acute respiratory distress syndrome, an? leak syndrome, and obstructive lung disease. For children, high frequency oscillatory ventilation is a therapeutic option, particularly in acute respiratory distress syndrome. However the cumulative meta-analysis has shown that, over time, principles of CMV treatment of low tidal volume and high PEEP improved, diminishing the relative benefit of HFOV. It may be also useful in the air leak syndrome and obstructive pulmonary disease.