Skip to main content

High Frequency Positive Pressure Ventilation

  • Chapter

Abstract

The prototype for high frequency ventilation is found in nature — the respiration of hummingbirds and insects is synchronous with the beat of their wings. In 1915 Henderson et al. (1) commented on the rapid, shallow breathing in dogs during heat polypnea: “There may easily be a gaseous exchange sufficient to support life even when tidal volume is considerably less than the dead space”. Briscoe et al. (2) confirmed Henderson’s observations, and demonstrated in a patient with a dead space of 170 ml that tidal volumes as small as 60 ml provided alveolar gas exchange. A similar principle was first applied by Jack Emerson, who called his US patent application in 1959 an “apparatus for vibrating portions of a patient’s airway”.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   39.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Henderson Y, Chillingworth FP, Whitney JL (1915) The respiratory dead space. Am J Physiol 38:1

    CAS  Google Scholar 

  2. Briscoe WA, Forster RE, Comroe JH (1954) Alveolar ventilation at very low tidal volumes. J Appl Physiol 7:27–30

    PubMed  CAS  Google Scholar 

  3. Jonzon A, Oberg PÂ, Sedin G, Sjôstrand U (1971) High-frequency positive-pressure ventilation by endotracheal insufflation. Acta Anaesthesiol Scand 15 [Suppl 43]: 1–43

    Article  Google Scholar 

  4. Oberg PÂ, Sjôstrand U (1971) Studies of blood-pressure on carotid-sinus nerve stimulation. Acta Physiol Scand 81:96–109

    Article  PubMed  CAS  Google Scholar 

  5. Heijman K, Heijman L, Jonzon A et al (1972) High frequency positive pressure ventilation during anaesthesia and routine surgery in man. Acta Anaesthesiol Scand 16:176–187

    Article  PubMed  CAS  Google Scholar 

  6. Sjôstrand U (1975) High-frequency positive-pressure ventilation (HFPPV) technique for artifical ventilation. In: Stembera ZK, Polacek K, Sabata V (eds) Pematal medicine Thieme, Stuttgart, pp 333–335

    Google Scholar 

  7. Eriksson I, Heijman L, Sjôstrand U (1974) High-frequency positive-pressure ventilation (HFPPV) in bronchoscopy during anesthesia. Opuscula Medica (Stockholm) 19:14–24

    Google Scholar 

  8. Sjôstrand U (1980) High-frequency positive-pressure ventilation (HFPPV): a review. Crit Care Med 8:345–364

    Article  PubMed  Google Scholar 

  9. Eriksson I, Sjöstrand U (1977) Experimental and clinical evaluation of high-frequency positive-pressure ventilation (HFPPV) and the pneumatic valve principle in bronchoscopy under genaral anaesthesia. Acta Anaesthesiol Scand 21 [Suppl 64]:83–100

    Article  Google Scholar 

  10. Borg U, Eriksson I, Sjöstrand U (1980) High-frequency positive-pressure ventilation (HFPPV). A review based upon its use during bronchoscopy and for laryngoscopy and microlaryngeal surgery under general anesthesia. Anesth Analg 59:594–603

    Article  PubMed  CAS  Google Scholar 

  11. Eriksson I, Sjöstrand U (1977) A clinical evaluation of high-frequency positive-pressure ventilation (HFPPV) in laryngoscopy under general anaesthesia. Acta Anaesthesiol Scand 21 [Suppl 64]: 101–110

    Article  Google Scholar 

  12. Klain M, Smith RB (1977) High frequency percutaneous transtracheal jet ventilation. Crit Care Med 5:280–287

    Article  PubMed  CAS  Google Scholar 

  13. Sjöstrand U (1977) Experimental and clinical evaluation of high-frequency positive-pressure ventilation — HFPPV: Introduction. Acta Anaesthesiol Scand 21 [Suppl 64]:5

    Google Scholar 

  14. Smith RB, Sjöstrand UH (1983) High frequency ventilation. Development of high frequency positive pressure low-compression ventilation. Int Anesthesiol Clin 21:11–32

    Article  Google Scholar 

  15. Eriksson I, Sjöstrand U (1974) High-frequency positive-pressure ventilation (HFPPV) during laryngoscopy. Opuscula Medica (Stockholm) 19:278–286

    Google Scholar 

  16. Sjöstrand U (1977) Review of the physiological rationale for and development of high-frequency positive-pressure ventilation — HFPPV Acta Anaesthesiol Scand 21 [Suppl 64]:7–27

    Article  Google Scholar 

  17. Carden E, Trapp WG, Oulton J (1970) A new and simple method for ventilating patients undergoing bronchoscopy. Anesthesiology 33:454–458

    Article  PubMed  CAS  Google Scholar 

  18. Eriksson I, Nilsson L-G, Nordström S et al (1975) High-frequency positive-pressure ventilaüon (HFPPV) during transthoracic resection of tracheal stenosis and during peroperative bronchoscopic examination. Acta Anaesthesiol Scand 19:113–119

    Article  PubMed  CAS  Google Scholar 

  19. Carion GC, Turnbull AD, Alexander JD et al (1981) High frequency jet ventilation during tracheal surgery. Crit Care Med 9:163–167

    Google Scholar 

  20. Sjöstrand U (1977) Pneumatic systems facilitating treatment of respiratory insufficiency with alternative use of IPPV/PEEP, HFPPV/PEEP, CPPB or CPAP Acta Anaesthesiol Scand 21 [Suppl 64]:123–147

    Article  Google Scholar 

  21. Sjöstrand UH, Wattwil LM, Borg UR et al (1982) Volume-controlled high-frequency positive-pressure ventilation as a useful mode of ventilation during open-chest surgery — a report of three cases. Resp Care 27:1380–1385

    Google Scholar 

  22. Wattwil LM, Sjöstrand UH, Borg UR, et al (1983) Comparative studies of IPPV and HFPPV with PEEP in critical care patients. II: studies on intrapulmonary gas distribution. Crit Care Med 11:38–43

    Article  PubMed  CAS  Google Scholar 

  23. Eriksson I, Jonzon A, Sedin G, Sjöstrand U (1977) The influence of the ventilatory pattern on ventilation, circulation and oxygen transport during continuous positive-pressure ventilation — an experimental study. Acta Anaesthesiol Scand 21 [Suppl 64]: 149–163

    Article  Google Scholar 

  24. Borg U, Eriksson I, Sjöstrand U et al (1981) Experimental studies of continuous positive-pressure ventilation (CPPV) and high-frequency positive-pressure ventilation (HFPPV). Resuscitation 9:1–21

    Article  PubMed  CAS  Google Scholar 

  25. Eriksson I, Sjöstrand U (1980) Effects of high-frequency positive-pressure ventilation (HFPPV) and general anesthesia on intrapulmonary gas distribution in patients undergoing diagnostic bronchoscopy. Anesth Analg 59:585–593

    Article  PubMed  CAS  Google Scholar 

  26. Malina JR, Nordström SG, Sjöstrand UH et al (1981) A clinical evalution of high-frequency positive-pressure ventilation (HFPPV) in patients scheduled for open-chest surgery. Anesth Analg 60:324–330

    Article  PubMed  CAS  Google Scholar 

  27. Bunegin L, Smith RB, Sjöstrand UH et al (1984) Regional organ blood flow during high frequency positive pressure ventilation (HFPPV) and intermittent positive pressure ventilation (IPPV). Anesthesiology 61:416–419

    Article  PubMed  CAS  Google Scholar 

  28. Sjöstrand UH, Smith RB, Bunegein L et al (1987) Gas exchange in low-compression HFPPV is maintained at low distending pressures in the pig. Acta Anaesthesiol Scand 31:417–422

    Article  PubMed  Google Scholar 

  29. Nielsen JB, Sjôstrand UH, Henneberg SW (1991) An experimental randomized study of six different ventilatory modes in a piglet model with normal lungs. Intensive Care Med 17: 169–174

    Article  PubMed  CAS  Google Scholar 

  30. Babinski MF, Smith RB, Sjôstrand UH (1985) Volume-controlled high frequency positive pressure ventilation for upper abdominal surgery. A clinical report. Anaesthesia 40:619–623

    Article  PubMed  CAS  Google Scholar 

  31. Sjôstrand UH, Bunegin L, Smith RB et al (1983) Development and clinical application of high frequency ventilation. In: Scheck PA, Sjôstrand UH, Smith RB (eds) Perspectives in high frequency ventilation. Marinus Nijhoff, The Hague, pp 12–38

    Chapter  Google Scholar 

  32. Smith RB, Swartzman S, Sjôstrand UH et al (1988) Low-compliance, volume-controlled HFPPV and conventional IPPV in coronary artery bypass grafting. J Cardiothorac Anesth 2:627–632

    Article  PubMed  CAS  Google Scholar 

  33. Sjôstrand UH (1989) High frequency positive pressure ventilation. In: Branson RD, Hurst JM, Davis K Jr (eds) Alternative modes of ventilatory support. Problems in Respiratory Care 2(1). Lippincott, Philadelphia, pp 1–15

    Google Scholar 

  34. Bjerager K, Sjôstrand U, Wattwil M (1977) Long-term treatment of two patients with respiratory insufficiency with IPPV/PEEP and HFPPV/PEEP Acta Anaesthesiol Scand 21 [Suppl 641:55–68

    Article  Google Scholar 

  35. Wattwil LM, Sjôstrand UH, Borg UR (1983) Comparative studies of IPPV and HFPPV with PEEP in critical care patients. I: a clinical evaluation. Crit Care Med 11:30–37

    Article  PubMed  CAS  Google Scholar 

  36. Eriksson I (1982) The role of the conducting airways in the process of gas exchange during high-frequency ventilation — a clinical and theoretical analysis. Anesth Analg 61:483–489

    Article  PubMed  CAS  Google Scholar 

  37. Carion GC, Howland WS, Ray C et al (1983) High-frequency jet ventilation: a prospective randomized evaluation. Chest 84:551–559

    Article  Google Scholar 

  38. Fusciardi J, Rouby JJ, Barakat T et al (1986) Hemodynamic effects of high-frequency jet ventilation in patients with and without circulatory shock. Anesthesiology 65:485

    Article  PubMed  CAS  Google Scholar 

  39. Wetzel RC, Gioia FR (1987) High frequency ventilation. Pediatr Clin North Am 34:15–38

    PubMed  CAS  Google Scholar 

  40. Rouby J, Viars P (1989) Clinical use of high frequency ventilation. Acta Anaesthesiol Scand 33 [Suppl 901:134–139

    Google Scholar 

  41. Sjôstrand UH (1985) The low-compression approach for ventilatory support — not just a matter of ventilatory frequency. Intensive Crit Care Digest 4:5–8

    Google Scholar 

  42. Smith RB, Sjôstrand UH, Babinski MF (1983) Technical considerations using high frequency positive pressure ventilation and high frequency jet ventilation. Int Anesthesiol Clin 21: 183–200

    Article  PubMed  CAS  Google Scholar 

  43. Sjôstrand UH (1989) In what respect does high frequency positive pressure ventilation differ from conventional ventilation? Acta Anaesthesiol Scand 33 [Suppl 90]:5–12

    Article  Google Scholar 

  44. Lachmann B, Danzmann E, Heandly B et al (1982) Ventilator setting and gas exchange in respiratory distress syndrome. In: Prakash O (ed) Applied physiology in clinical respiratory care. Martinus Nijhoff, The Hague, pp 141–176

    Google Scholar 

  45. Lachmann B (1992) Open up the lung and keep the lung open. Intensive Care Med 18: 319–321

    Article  PubMed  CAS  Google Scholar 

  46. Nielsen JB, Sjôstrand UH, Edgren EL et al (1991) An experimental study of different ventilatory modes in piglets in severe respiratory distress induced by surfactant depletion. Intensive Care Med 17:225–233

    Article  PubMed  CAS  Google Scholar 

  47. Lichtwarck-Aschoff M, Nielsen JB, Sjôstrand UH, Edgren EL (1992) An experimental randomized study of five different ventilatory modes in a piglet model of severe respiratory distress. Intensive Care Med 18:339–347

    Article  PubMed  CAS  Google Scholar 

  48. Sjôstrand UH, Lichtwarck-Aschoff M, Nielsen JB et al (1995) Different ventilatory approaches to keep the lung open. Intensive Care Med 21:310–318

    Article  PubMed  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1996 Springer-Verlag Italia, Milano

About this chapter

Cite this chapter

Sjöstrand, U.H. (1996). High Frequency Positive Pressure Ventilation. In: Gullo, A. (eds) Anaesthesia, Pain, Intensive Care and Emergency Medicine — A.P.I.C.E.. Springer, Milano. https://doi.org/10.1007/978-88-470-2203-4_27

Download citation

  • DOI: https://doi.org/10.1007/978-88-470-2203-4_27

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-3-540-75014-7

  • Online ISBN: 978-88-470-2203-4

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics