High-frequency oscillatory ventilation in adults: respiratory therapy issues.
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.
Higgins
Jason
J
Parkland Health and Hospital System, Respiratory Care Department, Dallas, TX, USA.
Estetter
Bob
B
Holland
Dean
D
Smith
Brian
B
Derdak
Stephen
S
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