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Review
. 2017 May 30:6:756.
doi: 10.12688/f1000research.10823.1. eCollection 2017.

The use of high-frequency ventilation during general anaesthesia: an update

Karolina Galmén  1 , Piotr Harbut  1 , Jacob Freedman  2 , Jan G Jakobsson  1
Affiliations
Review

The use of high-frequency ventilation during general anaesthesia: an update

Karolina Galmén et al. F1000Res. .

Abstract

Various forms of high-frequency ventilation (HFV) have been described. HFV is broadly defined as artificial ventilation of the lungs with sub-deadspace tidal volumes delivered using supra-physiological frequencies. HFV has been used in anaesthesia and intensive care for special procedures and conditions since the 1960s. Clinical interest in the use and the technical evolution of HFV has developed over time. There is a renewed interest in HFV for avoiding parenchymal movement during stereotactic tumour ablation. The present paper aims to give an overview of the fundamental physiology, technical aspects, and clinical challenges of HFV in ablation procedures during general anaesthesia, where HFV is used to minimise the movements of the ablation target.

Keywords: high frequency ventilation; high-frequency jet ventilation; high-frequency positive pressure ventilation.

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Conflict of interest statement

Competing interests: The authors declare that they have no competing interests.No competing interests were disclosed.No competing interests were disclosed.No competing interests were disclosed.

Figures

Figure 1.
Figure 1.. Monsoon jet ventilator.
“Monsoon” ventilator (Acutronic Medical Systems, Ag, 8816 Hirzel, Schweiz).
Figure 2.
Figure 2.. Twinstream.
“Twinstream” ventilator (Carl Reiner GmbH, Vienna, Austria).
Figure 3.
Figure 3.. Illustration of superimposed high-frequency jet ventilation (HFJV).
LFJV, low-frequency jet ventilation.
Figure 4.
Figure 4.. LaserJet and endotracheal tube.
LaserJet Catheter (Acutronic Medical Systems AG, Hirzel, Switzerland).
Figure 5.
Figure 5.. Liver tumour ablation with high-frequency jet ventilation.
Liver tumour ablation with high-frequency jet ventilation.
Figure 6.
Figure 6.. High-frequency jet ventilation used in the computed tomography lab during liver tumour ablation.
High-frequency jet ventilation used in the computed tomography lab during liver tumour ablation.
See this image and copyright information in PMC

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