International experience of using high frequency ventilation in neonate with extreme low birth weight

Improvement in respiratory support methods used for newborns has significantly influenced survival rates and reduced the incidence of severe complications associated with respiratory therapy. Currently, the high-frequency ventilation method is widely employed in global neonatal practice, particularly for premature infants. The interest in this respiratory support method stems from its low risk of lung injury, as it ensures adequate gas exchange with minimal tidal volume and low amplitude of pressure created in the alveoli. Approaches to the application of high-frequency ventilation in newborns have been borrowed from protocols in Eastern Asia and Europe, where this method has been successfully utilized for many years and continues to be the subject of ongoing scientific research in the field of respiratory support for premature newborns.

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13. Lih-Ju Chena, Jia-Yuh Chena. Effect of high-frequency oscillatory ventilation combined with volume guarantee on preterm infants with hypoxic respiratory failure. a Department of Pediatrics, Changhua Christian Children’s Hospital, Changhua, Taiwan, ROC; bInstitute of Medicine, Chung Shan Medical University, Taichung, Taiwan, ROC. J Chin Med Assoc. 2019 Nov; 82 (11): 861-864. doi: 10.1097/JCMA.0000000000000146. URL: https://pubmed.ncbi.nlm.nih.gov/31693534/.

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16. Claude Danan MD, Manon Tauzin MD, Camille Jung MD, PhD, Xavier Durrmeyer MD, PhD, Laurence Caeymaex MD, PhD, Charles Treussart MD, Fabrice Decobert MD, Bruno Louis MD. Humidity during high-frequency oscillatory ventilation compared to intermittent positive pressure ventilation in extremely preterm neonates: An in vitro and in vivo observational study. Pediatr Pulmonol. 2023 Jan; 58 (1): 66–72. Published online 2022 Sep 19. doi: 10.1002/ppul.26157.

17. Solís-García G., Ramos-Navarro C., González-Pacheco N., Sánchez-Luna M. Lung protection strategy with high-frequency oscillatory ventilation improves respiratory outcomes at two years in preterm respiratory distress syndrome: a before and after, quality improvement study. J Matern Fetal Neonatal Med. 2022 Dec; 35 (26): 10698-10705. doi: 10.1080/14767058.2022.2155040. URL: https://pubmed.ncbi.nlm.nih.gov/36521851/.

18. Recruitment maneuvers during high - frequency oscillatory ventilation in extremely preterm infants: a randomized controlled trial. Werther et al. BMC Pediatr. 2022 Dec 12; 22 (1): 710 doi: 10.1186/s12887-022-03780-7. URL: https://pubmed.ncbi.nlm.nih.gov/36503480/.

19. Lih-Ju Chena, Jia-Yuh Chena. Effect of high-frequency oscillatory ventilation combined with volume guarantee on preterm infants with hypoxic respiratory failure. a Department of Pediatrics, Changhua Christian Children’s Hospital, Changhua, Taiwan, ROC; bInstitute of Medicine, Chung Shan Medical University, Taichung, Taiwan, ROC. J Chin Med Assoc. 2019 Nov; 82 (11): 861-864. doi: 10.1097/JCMA.0000000000000146. URL: https://pubmed.ncbi.nlm.nih.gov/31693534/.

20. Cools F., Offringa M., Askie L.M. Elective high frequency oscillatory ventilation versus conventional ventilation for acute pulmonary dysfunction in preterm infants. Cochrane Database Syst Rev. 2015 Mar 19; (3):CD000104. doi: 10.1002/14651858.CD000104.pub4. URL: https://pubmed.ncbi.nlm.nih.gov/25785789/.

21. Sven M. Schulzke, Benjamin Stoecklin. Update on ventilatory management of extremely preterm infants - A Neonatal Intensive Care Unit perspective. Paediatr Anaesth. 2022 Feb; 32 (2): 363-371. doi: 10.1111/pan.14369. URL: https://pubmed.ncbi.nlm.nih.gov/34878697/.

22. Claude Danan MD, Manon Tauzin MD, Camille Jung MD, PhD, Xavier Durrmeyer MD, PhD, Laurence Caeymaex MD, PhD, Charles Treussart MD, Fabrice Decobert MD, Bruno Louis MD. Humidity during high-frequency oscillatory ventilation compared to intermittent positive pressure ventilation in extremely preterm neonates: An in vitro and in vivo observational study. Pediatr Pulmonol. 2023 Jan; 58 (1): 66–72. Published online 2022 Sep 19. doi: 10.1002/ppul.26157. doi: 10.1002/ppul.26157.

23. Solís-García G., Ramos-Navarro C., González-Pacheco N., Sánchez-Luna M. Lung protection strategy with high-frequency oscillatory ventilation improves respiratory outcomes at two years in preterm respiratory distress syndrome: a before and after, quality improvement study. J Matern Fetal Neonatal Med. 2022 Dec; 35 (26): 10698-10705. doi: 10.1080/14767058.2022.2155040. URL: https://pubmed.ncbi.nlm.nih.gov/36521851/.