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March 14, 2026Respiratory Care

Examination of High-Frequency Percussive Ventilation Initiation Protocols

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Authors

ATA. K. ThompsonDGDonna D. GardnerMKMegan Spurny Koster

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Overview

Analysis identifies variation in HFPV initiation protocols, suggesting input from subject matter experts may enhance standards.

Key Points

  • To evaluate variations in how high-frequency percussive ventilation is initiated based on available protocols.
  • Identified and categorized protocols from literature and submissions by practitioners.
  • Conducted interviews with subject matter experts to gather insights on initiation strategies.
  • Reviewed settings for low, moderate, high, and variable according to established recommendations.
  • Eighteen different protocols for HFPV initiation were identified.
  • Demand PEEP protocols showed variability, with 28% in low and moderate categories.
  • Pulsatile flow category revealed a predominance of 56% in the low settings.

Cite This Study

Thompson et al. (2024) studied this question.

synapsesocial.com/papers/69b4ba3618185d8a398030d9https://doi.org/10.4187/respcare.20244115872
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1High-frequency percussive ventilation in pediatric acute respiratory failure in a community-based pediatric intensive care unit2026
  2. 2Patient-Ventilator Interaction and Pressure Delivery in Comparison of Intrapulmonary Percussive Ventilation and Continuous High-Frequency Oscillation During Pediatric Mechanical Ventilation: A Simulation Study2023
  3. 3High-frequency percussive ventilation in acute respiratory failure2024 · 4 citations
  4. 4Relationship between oscillatory volume and oscillatory pressure in neonatal high-frequency oscillatory ventilators: an in vitro study2024 · 1 citations
  5. 5An Experimental Comparison of High Frequency Ventilation (HFPPV and HFJV) in Open Ventilator Systems1983 · 5 citations