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Review
. 2023 Apr 1;36(2):126-131.
doi: 10.1097/ACO.0000000000001228. Epub 2022 Dec 22.

A review of the utility of high-frequency oscillatory ventilation in burn and trauma ICU patients

Joshua Dilday  1 , David Leon  2 , Catherine M Kuza  3
Affiliations
Review

A review of the utility of high-frequency oscillatory ventilation in burn and trauma ICU patients

Joshua Dilday et al. Curr Opin Anaesthesiol. .

Abstract

Purpose of review: The purpose was to examine the utility of high-frequency oscillatory ventilation (HFOV) in trauma and burn ICU patients who require mechanical ventilation, and provide recommendations on its use.

Recent findings: HFOV may be beneficial in burn patients with smoke inhalation injury with or without acute lung injury/acute respiratory distress syndrome (ARDS), as it improves oxygenation and minimizes ventilator-induced lung injury. It also may have a role in improving oxygenation in trauma patients with blast lung injury, pulmonary contusions, pneumothorax with massive air leak, and ARDS; however, the mortality benefit is unknown.

Summary: Although some studies have shown promise and improved outcomes associated with HFOV, we recommend its use as a rescue modality for patients who have failed conventional ventilation.

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References

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