High-frequency jet ventilation in European and North American institutions: developments and clinical practice.
Respiratory support with high-frequency jet ventilation has been advocated during airway surgery or to improve pulmonary mechanics and gas exchange in patients with bronchopleural fistulae or pulmonary insufficiency. Despite a large body of published evidence describing its benefits as an alternative ventilatory approach in anaesthesia and intensive care medicine, its application has not gained widespread acceptance and is restricted to specialized centres. To review the literature on high-frequency jet ventilation in European and North American institutions, we performed a search in a computerized database (MEDLINE) covering the period from 1990 until the present time, describing the use of high-frequency jet ventilation in over 7000 patients. Various modes to apply high-frequency jet ventilation during airway surgery have been established, but its value in intensive care is controversial. We report our experience with combined high-frequency jet ventilation and provide guidelines for its safe application.
Ihra
G
G
Department of Anaesthesiology and General Intensive Care Medicine, University of Vienna, AKH, Waehringer Guertel 18-20, A-1090 Vienna, Austria.
Gockner
G
G
Kashanipour
A
A
Aloy
A
A
D000768:Anesthesia, General; D001983:Bronchial Fistula / Q000628:therapy; D003422:Critical Care; D005060:Europe; D006611:High-Frequency Jet Ventilation / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods / Q000706:statistics & numerical data; D006801:Humans; D008991:Monitoring, Physiologic; D009656:North America; D010995:Pleural Diseases / Q000628:therapy; D017410:Practice Guidelines as Topic; D011659:Pulmonary Gas Exchange / Q000502:physiology; D012131:Respiratory Insufficiency / Q000628:therapy; D015656:Respiratory Mechanics / Q000502:physiology; D012137:Respiratory System / Q000601:surgery; D016156:Respiratory Tract Fistula / Q000628:therapy; D016896:Treatment Outcome; D012122:Ventilators, Mechanical