High-frequency percussive ventilation in acute respiratory failure
Introduction High-frequency percussive ventilation (HFPV) is a ventilation mode characterised by high-frequency breaths. This study investigated the impact of HFPV on gas exchange and clinical outcomes in acute respiratory failure (ARF) patients during spontaneous breathing, noninvasive ventilation...
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| Format: | Article |
| Language: | English |
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European Respiratory Society
2024-12-01
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| Series: | ERJ Open Research |
| Online Access: | http://openres.ersjournals.com/content/10/6/00401-2024.full |
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| author | Andrea Bruni Giuseppe Neri Gianmaria Cammarota Vincenzo Bosco Eugenio Biamonte Letizia Troisi Annalisa Boscolo Paolo Navalesi Federico Longhini Eugenio Garofalo |
| author_facet | Andrea Bruni Giuseppe Neri Gianmaria Cammarota Vincenzo Bosco Eugenio Biamonte Letizia Troisi Annalisa Boscolo Paolo Navalesi Federico Longhini Eugenio Garofalo |
| author_sort | Andrea Bruni |
| collection | DOAJ |
| description | Introduction
High-frequency percussive ventilation (HFPV) is a ventilation mode characterised by high-frequency breaths. This study investigated the impact of HFPV on gas exchange and clinical outcomes in acute respiratory failure (ARF) patients during spontaneous breathing, noninvasive ventilation (NIV) and invasive mechanical ventilation (iMV).
Methods
This systematic review included randomised and nonrandomised studies up to August 2023. Inclusion criteria focused on adult ARF patients, HFPV application, comparisons with other ventilation modes, and outcomes related to oxygenation and clinical parameters. A pooled data analysis was performed comparing HFPV with iMV concerning gas exchange, pulmonary infection and mortality.
Results
Of the 51 identified records, 29 met the inclusion criteria. HFPV was safely and effectively applied to ARF patients during spontaneous breathing or NIV, improving oxygenation. For patients who underwent iMV, HFPV significantly enhanced oxygenation and the arterial partial pressure of carbon dioxide, reduced pulmonary infection occurrence and improved survival. Barotrauma rates were not elevated with HFPV, and haemodynamic stability remained unaffected. HFPV was also utilised in patients undergoing extracorporeal membrane oxygenation, resulting in improved lung recruitment and oxygenation.
Conclusion
HFPV had favourable effects on physiological and certain clinical outcomes in ARF patients. However, the overall evidence quality remains weak, necessitating large-scale randomised controlled trials for definitive conclusions. |
| format | Article |
| id | doaj-art-6bbe5612fa9d4af0b61791e671c89dce |
| institution | Kabale University |
| issn | 2312-0541 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | European Respiratory Society |
| record_format | Article |
| series | ERJ Open Research |
| spelling | doaj-art-6bbe5612fa9d4af0b61791e671c89dce2025-01-14T09:50:22ZengEuropean Respiratory SocietyERJ Open Research2312-05412024-12-0110610.1183/23120541.00401-202400401-2024High-frequency percussive ventilation in acute respiratory failureAndrea Bruni0Giuseppe Neri1Gianmaria Cammarota2Vincenzo Bosco3Eugenio Biamonte4Letizia Troisi5Annalisa Boscolo6Paolo Navalesi7Federico Longhini8Eugenio Garofalo9 Anaesthesia and Intensive Care Unit, Department of Medical and Surgical Sciences, “Magna Graecia” University, Catanzaro, Italy Anaesthesia and Intensive Care Unit, Department of Medical and Surgical Sciences, “Magna Graecia” University, Catanzaro, Italy Department of Translational Medicine, Eastern Piedmont University, Novara, Italy Anaesthesia and Intensive Care Unit, Department of Medical and Surgical Sciences, “Magna Graecia” University, Catanzaro, Italy Anaesthesia and Intensive Care Unit, Department of Medical and Surgical Sciences, “Magna Graecia” University, Catanzaro, Italy Anaesthesia and Intensive Care Unit, Department of Medical and Surgical Sciences, “Magna Graecia” University, Catanzaro, Italy Department of Medicine-DIMED, University of Padua, Padua, Italy Department of Medicine-DIMED, University of Padua, Padua, Italy Anaesthesia and Intensive Care Unit, Department of Medical and Surgical Sciences, “Magna Graecia” University, Catanzaro, Italy Anaesthesia and Intensive Care Unit, Department of Medical and Surgical Sciences, “Magna Graecia” University, Catanzaro, Italy Introduction High-frequency percussive ventilation (HFPV) is a ventilation mode characterised by high-frequency breaths. This study investigated the impact of HFPV on gas exchange and clinical outcomes in acute respiratory failure (ARF) patients during spontaneous breathing, noninvasive ventilation (NIV) and invasive mechanical ventilation (iMV). Methods This systematic review included randomised and nonrandomised studies up to August 2023. Inclusion criteria focused on adult ARF patients, HFPV application, comparisons with other ventilation modes, and outcomes related to oxygenation and clinical parameters. A pooled data analysis was performed comparing HFPV with iMV concerning gas exchange, pulmonary infection and mortality. Results Of the 51 identified records, 29 met the inclusion criteria. HFPV was safely and effectively applied to ARF patients during spontaneous breathing or NIV, improving oxygenation. For patients who underwent iMV, HFPV significantly enhanced oxygenation and the arterial partial pressure of carbon dioxide, reduced pulmonary infection occurrence and improved survival. Barotrauma rates were not elevated with HFPV, and haemodynamic stability remained unaffected. HFPV was also utilised in patients undergoing extracorporeal membrane oxygenation, resulting in improved lung recruitment and oxygenation. Conclusion HFPV had favourable effects on physiological and certain clinical outcomes in ARF patients. However, the overall evidence quality remains weak, necessitating large-scale randomised controlled trials for definitive conclusions.http://openres.ersjournals.com/content/10/6/00401-2024.full |
| spellingShingle | Andrea Bruni Giuseppe Neri Gianmaria Cammarota Vincenzo Bosco Eugenio Biamonte Letizia Troisi Annalisa Boscolo Paolo Navalesi Federico Longhini Eugenio Garofalo High-frequency percussive ventilation in acute respiratory failure ERJ Open Research |
| title | High-frequency percussive ventilation in acute respiratory failure |
| title_full | High-frequency percussive ventilation in acute respiratory failure |
| title_fullStr | High-frequency percussive ventilation in acute respiratory failure |
| title_full_unstemmed | High-frequency percussive ventilation in acute respiratory failure |
| title_short | High-frequency percussive ventilation in acute respiratory failure |
| title_sort | high frequency percussive ventilation in acute respiratory failure |
| url | http://openres.ersjournals.com/content/10/6/00401-2024.full |
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