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High Frequency Oscillatory Ventilation

High Frequency Oscillatory Ventilation (HFOV)James Xie, MDPediatric Anesthesiology FellowStanford Children s Health11/18/2019 Case Presentation- Sunday afternoon: you are called by the general surgery team for an emergent ex-lap for suspected necrotizing enterocolitis- Patient is a former 25+5 week infant born after unstoppable preterm labor, now corrected to 29+2- One day prior, patient was put on HFOV due to worsening hypercarbia (arterial PCO2 96) despite high conventional ventilator settings (Vt 5ml/kg, RR 50, PEEP 7)- Current oscillator settings are: MAP 14, Amplitude 32, Frequency 12, I-Time , FiO2 31% and recent ABG: What is your Ventilation strategy for the operation?So many did the NICU put the baby on the oscillator?-Is this the same or different than high Frequency jet Ventilation ?-How does an oscillator even work?-Can you perform surgery while a patient is on the oscillator?

and high-frequency oscillatory ventilation in severe, persistent pulmonary hypertension of the newborn” found that “treatment with HFOV plus iNO is often more successful than treatment with HFOV or iNO alone in severe

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