Skip to main content

Table 2 Initial parameters for high-frequency oscillatory ventilation

From: Bench-to-bedside review: High-frequency oscillatory ventilation in adults with acute respiratory distress syndrome

Parameter

Initiation settings

FiO2

Same FiO2 that patient was receiving during conventional ventilation, adjust to SpO2 > 90%

Mean airway pressure (mPaw)

3–5 cmH2O higher than patient was receiving during conventional ventilation, titrate upward to reduce FiO2 below 0.6

Bias flow

40 l/min, titrate to exceed any spontaneous inspiratory efforts

Pressure amplitude of oscillation ('power' or ΔP)

Titrate to produce a 'wiggle', or body movement, from shoulders to midthigh

Frequency

5 Hz, then titrate to PaCO2

Percentage inspiratory time

33%