High Frequency Oscillatory Ventilation for the Pediatric Patient: When and How

High Frequency Oscillatory Ventilation (HFOV) is an alternate mode of mechanical ventilation that delivers small tidal volumes at rapid ventilation rates and may lead to less ventilator-induced lung injury (1) and a reduced risk of acteletrauma (2). Its use in the pediatric critical care unit varies (2).

This lecture will discuss:

• An overview of HFOV as a mode of ventilation

• The settings used in HFOV for pediatric patients

• When and how to use HFOV for pediatric patients

• The evidence of benefit of HFOV as a lung protective strategy

This program has been approved for 1.00 contact hour Continuing Respiratory Care Education (CRCE) credit by the American Association for Respiratory Care, 9425, N. MacArthur Blvd, Suite 100, Irving TX 75063

References:

1. Wong, J.JM., Liu, S., Dang, H. et al. The impact of high frequency oscillatory ventilation on mortality in paediatric acute respiratory distress syndrome. Crit Care 24, 31 (2020). https://doi.org/10.1186/s13054-020-2741-x

2. Reflections on Pediatric High-Frequency Oscillatory Ventilation From a Physiologic PerspectiveMartin CJ Kneyber, Marc van Heerde, Dick G MarkhorstRespiratory Care Sep 2012, 57 (9) 1496-1504; DOI: 10.4187/respcare.01571