title: High-frequency oscillatory ventilation in adults: respiratory therapy issues.
abstract: OBJECTIVE
  To summarize clinical information and assessment techniques relevant to respiratory therapists caring for adult patients on high-frequency oscillatory ventilation (HFOV).
  
  
  METHODS
  Review of observational studies, controlled trials, case reports, institutional experience, and hospital HFOV guidelines for adult patients.
  
  
  METHODS
  Respiratory therapists require unique physical assessment skills and knowledge in managing patients on HFOV. Respiratory therapy procedures relevant to HFOV include setting endotracheal tube cuff leaks, performing lung recruiting maneuvers, endotracheal suctioning, and monitoring ventilator parameters. Respiratory therapists serve as essential team members in the creation and implementation of written HFOV guidelines (e.g., algorithms) to optimize patient care.
  
  
  CONCLUSIONS
  Respiratory therapy assessment and procedural skills are essential in providing optimal care to adult patients on HFOV.
authors.affiliation: Parkland Health and Hospital System, Respiratory Care Department, Dallas, TX, USA.
authors.forename: Jason
authors.initials: J
authors.lastname: Higgins
authors.forename: Bob
authors.initials: B
authors.lastname: Estetter
authors.forename: Dean
authors.initials: D
authors.lastname: Holland
authors.forename: Brian
authors.initials: B
authors.lastname: Smith
authors.forename: Stephen
authors.initials: S
authors.lastname: Derdak
mesh_terms: D006612:High-Frequency Ventilation; D006801:Humans; D007442:Intubation, Intratracheal; D008991:Monitoring, Physiologic / Q000379:methods; D016684:Prone Position; D012128:Respiratory Distress Syndrome / Q000628:therapy; D012138:Respiratory Therapy