Related Experiment Video

Updated: Apr 15, 2026

Point-of-Care Ultrasound for Peripheral Veno-Arterial Extracorporeal Membrane Oxygenation Without Left Ventricular Venting
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Published on: January 17, 2025

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High-frequency percussive ventilation: a new strategy for separation from extracorporeal membrane oxygenation

Annalisa Boscolo1, Arianna Peralta, Fabio Baratto

  • 1From the Department of Medicine, Anesthesia, and Intensive Care Unit, Padova University Hospital, Padua, Italy.

A & a Case Reports
|April 2, 2015
PubMed

We report the case of a 48-year-old woman who developed severe septic shock and lung injury after community-acquired pneumonia. She was supported on arteriovenous extracorporeal membrane oxygenation (ECMO) for 19 days. To facilitate decannulation and separation from ECMO, we began trials of high-frequency percussive ventilation (HFPV) using the volumetric diffusive respiration ventilator VDR-4 (Percussionaire Corp, Sandpoint, Idaho) for 4 consecutive days (1 before and 3 after). Decannulation was achieved successfully, and the patient was transferred to the floor 3 months later. During the 4 days of HFPV, the chest radiograph improved, as did gas exchange and clearance of pulmonary secretions. HFPV may be a promising strategy for improving lung recruitment and airway clearance during separation from ECMO in the critically ill patient.

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