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Updated: Aug 10, 2026
05:43
Topical Airway Anesthesia for Awake-endoscopic Intubation Using the Spray-as-you-go Technique with High Oxygen Flow
Published on: January 13, 2017
Anaesthetic management and high frequency oscillatory ventilation
1Department of Child Health, The University of Missouri, M658 Health Sciences Center, One Hospital Drive, Columbia, MO 65212, USA. tobiasj@health.missouri.edu
Paediatric Anaesthesia
|July 10, 2001
Summary
High-frequency oscillatory ventilation (HFOV) offers benefits in critical care. This study explores its perioperative use in infants, detailing applications during and after surgery for improved outcomes.
Area of Science:
- Pediatric Critical Care Medicine
- Anesthesiology
- Respiratory Physiology
Background:
- Mechanical ventilation is crucial in critical care to reduce morbidity and mortality.
- High-frequency oscillatory ventilation (HFOV) utilizes high respiratory rates and small tidal volumes with constant distending pressure.
- HFOV aims to limit peak inflating pressures, potentially reducing barotrauma.
Observation:
- Limited data exists on the intraoperative application of HFOV.
- This study presents three infant cases demonstrating perioperative HFOV applications.
- Cases include preoperative use for minimizing lung movement, intraoperative use for ventilation challenges, and anesthetic management of neonates on HFOV.
Findings:
- HFOV can be effectively used electively before surgery to improve surgical exposure.
- Intraoperative HFOV is beneficial when respiratory compliance changes compromise ventilation and oxygenation.
- Anesthetic management for neonates already on HFOV during surgery is feasible.
Implications:
- Perioperative HFOV represents a valuable strategy in pediatric surgical cases.
- Expanding the use of HFOV in the perioperative period may enhance patient outcomes.
- Further research into HFOV's intraoperative efficacy and safety is warranted.
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