High-frequency oscillatory ventilation in adults: respiratory therapy issues.

Abstract

To summarize clinical information and assessment techniques relevant to respiratory therapists caring for adult patients on high-frequency oscillatory ventilation (HFOV). Review of observational studies, controlled trials, case reports, institutional experience, and hospital HFOV guidelines for adult patients. 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. Respiratory therapy assessment and procedural skills are essential in providing optimal care to adult patients on HFOV.