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High Frequency Oscillatory Ventilation: A Tool to Decrease Ventilator-Induced Lung Injury?

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Yearbook of Intensive Care and Emergency Medicine 2000

Part of the book series: Yearbook of Intensive Care and Emergency Medicine ((YEARBOOK,volume 2000))

Abstract

Clinicians and researchers are becoming increasingly conscious of the potentially harmful effects of mechanical ventilation, and more attention is being focused on methods of ventilation that may reduce these complications. A consensus conference on mechanical ventilation has called for the use of ventilatory strategies that avoid lung overdistention while concurrently maintaining adequate inflation, thus avoiding atelectasis [1]. One such potential modality is high frequency oscillatory ventilation (HFOV) which is one of a collection of ventilatory modes termed high frequency ventilation (HFV). Examples of other techniques in this group include high frequency positive pressure ventilation (HFPPV) and high frequency jet ventilation (HFJV). HFOV, like these other modalities, employs respiratory frequencies that are significantly higher (60–2000 breaths/min) and tidal volumes that are significantly lower (1–5 ml/kg) than those used in conventional mechanical ventilation [2–4]. In HFOV, respiratory frequencies are usually between 3 and 15 Hz, with tidal volumes that are often less than the anatomical dead space.

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Authors
  1. N. D. Ferguson
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  2. T. E. Stewart
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  3. A. S. Slutsky
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Editors and Affiliations

  1. Erasme Hospital, Free University of Brussels, Route de Lennik 808, B-1070, Brussels, Belgium

    Jean-Louis Vincent (Head Department of Intensive Care) (Head Department of Intensive Care)

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Ferguson, N.D., Stewart, T.E., Slutsky, A.S. (2000). High Frequency Oscillatory Ventilation: A Tool to Decrease Ventilator-Induced Lung Injury?. In: Vincent, JL. (eds) Yearbook of Intensive Care and Emergency Medicine 2000. Yearbook of Intensive Care and Emergency Medicine, vol 2000. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-13455-9_26

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  • DOI: https://doi.org/10.1007/978-3-662-13455-9_26

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