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High-frequency jet ventilation in European and North American institutions: developments and clinical practice

Published online by Cambridge University Press:  16 August 2006

G. Ihra ,
G. Gockner ,
A. Kashanipour  and
A. Aloy
G. Ihra
Affiliation:
Department of Anaesthesiology and General Intensive Care Medicine, University of Vienna, AKH, Waehringer Guertel 18–20, A-1090 Vienna, Austria
G. Gockner
Affiliation:
Department of Anaesthesiology and General Intensive Care Medicine, University of Vienna, AKH, Waehringer Guertel 18–20, A-1090 Vienna, Austria
A. Kashanipour
Affiliation:
Department of Anaesthesiology and General Intensive Care Medicine, University of Vienna, AKH, Waehringer Guertel 18–20, A-1090 Vienna, Austria
A. Aloy
Affiliation:
Department of Anaesthesiology and General Intensive Care Medicine, University of Vienna, AKH, Waehringer Guertel 18–20, A-1090 Vienna, Austria
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Abstract

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.

Keywords

respiration artificialhigh-frequency ventilationhigh-frequency jet ventilationrespiratory insufficiencybronchial diseasesbronchial fistula
Type
Original Article
Information
European Journal of Anaesthesiology , Volume 17 , Issue 7 , July 2000 , pp. 418 - 430
Copyright
2000 European Society of Anaesthesiology

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