ICU SAQs · Respiratory / ventilation
Principle and evidence for HFOV in adult ARDS
A CICM SAQ on HFOV — the open-lung principle (very high rate, tiny Vt, high mPaw), the OSCILLATE (harm) and OSCAR (no benefit) trials, and the current (non-routine) role in adults.
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CICMFFICMEDIC
Prompt
Outline the principle of high-frequency oscillatory ventilation (HFOV) and the evidence for its use in adult ARDS.
Question
Outline the principle of high-frequency oscillatory ventilation (HFOV) and the evidence for its use in adult ARDS.
[4]References4ShowHide
- [1]Ferguson ND, Cook DJ, Guyatt GH, et al. High-frequency oscillation in early acute respiratory distress syndrome. New England Journal of Medicine, 2013.PMID 23339639
- [2]Young D, Lamb SE, Shah S, et al. High-frequency oscillation for acute respiratory distress syndrome. New England Journal of Medicine, 2013.PMID 23339638
- [3]Bersten AD, Soni N (eds) Oh's Intensive Care Manual. 8th edition, Elsevier, 2018.
- [4]Derdak S, Mehta S, Stewart TE, et al. High-frequency oscillatory ventilation for acute respiratory distress syndrome in adults: a randomized, controlled trial Am J Respir Crit Care Med, 2002.PMID 12231488