Replay - 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

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