High-Frequency Jet Ventilation in Neonatal and Pediatric Subjects: A Narrative Review

Andrew G Miller; Renee M Bartle; Kyle J Rehder

doi:10.4187/respcare.08691

High-Frequency Jet Ventilation in Neonatal and Pediatric Subjects: A Narrative Review

Respir Care. 2021 May;66(5):845-856. doi: 10.4187/respcare.08691.

Authors

Andrew G Miller¹, Renee M Bartle², Kyle J Rehder³

Affiliations

¹ Respiratory Care Services, Duke University Medical Center, Durham, North Carolina. andrew.g.miller@duke.edu.
² Respiratory Care Services, Duke University Medical Center, Durham, North Carolina.
³ Division of Pediatric Critical Care Medicine, Duke University Medical Center, Durham, North Carolina.

PMID: 33931517
DOI: 10.4187/respcare.08691

Abstract

High-frequency ventilation is commonly utilized with neonates and with children with severe respiratory failure. Both high-frequency oscillatory ventilation (HFOV) and high-frequency jet ventilation (HFJV) are used extensively in neonates. HFJV can also be used in older, larger children. The purpose of this narrative review is to discuss the physiologic principles behind HFJV, examine the evidence supporting its use in neonatal and pediatric ICUs, give meaningful guidance for clinical application, and highlight potential areas for future research.

Keywords: high-frequency jet ventilation; mechanical ventilation; neonate; pediatric; review.

Publication types

Review

MeSH terms

Child
High-Frequency Jet Ventilation*
High-Frequency Ventilation*
Humans
Infant, Newborn
Respiratory Insufficiency* / therapy