Modern aspects of high-frequency oscillatory ventilation in neonatal intensive care

High-frequency oscillatory ventilation (HFOV) is a respiratory technology capable of improving gas exchange in newborns in case of ineffective traditional ventilation. However, there are some unresolved issues regarding this technology in neonatal intensive care. The article describes physical principles of HFOV, its advantage over traditional ventilation, indications, selection of parameter, weaning tactics and potential complications of this technology. The article also describes available options of HFOV, such as the guaranteed volume mode, sigh mode, closed loop automated oxygen control, as well as lung recruitment maneuver. Modern strategies of HFOV in newborns make it possible to more effectively normalize gas exchange and reduce the risks of complications.