Abstract
Based on experimental studies, ventilation with small volumes of gas and rates of up to 100–400/minute, high-frequency jet ventilation (HFJV), seems to present a true alternative to conventional intermittent positive pressure ventilation (IPPV), especially in patients with multiple organ damage.
In order to determine the effects of high-frequency jet ventilation on intracranial pressure, we examined the effects of the HFJV in comparison to conventional ventilation in experimental balloon brain trauma. Ten young pigs were studied using continous invasive hemodynamic, pulmonal, and intracranial pressure monitoring. There was no increase in brain pressure over normal ventilation. As a matter of fact, there was a temporary decrease of the intracranial pressure by about 5 mmHg, which returned to the initial pre-HFJV value after 5 minutes. In contrast to conventional ventilation, HFJV allows for tracheobronchial suctioning and interruption of ventilation without any noticeable increase of ICP.
Article PDF
Similar content being viewed by others
Avoid common mistakes on your manuscript.
References
Borg, U, I Eriksson, U Sjöstrand, M Wattwill: Experimental studies of continous positive pressure ventilation and high frequency positive pressure ventilation. Resuscitation 9 (1983) 1–21
Calkins, JM, CK Waterson, SR Hameroff, J Kanel: Jet pulse characteristics for high frequency jet ventilation in dogs. Anaesth Analg 61 (1982) 293–300
Carlon G, C Ray, J Griffin, S Midownik, J Groeger: Tidal volume and airway pressure on high frequency jet ventilation. Crit Care Med 11 (1983) 83–86
Fechner R, W Fuchs: High frequency jet ventilation beim ARDS. Anaesthesiol Intensivmed 11 (1983) 351–352
Fredberg J J: Augmented diffusion in the airways can support pulmonary gas exchange. J. Appl. Physiol.: Respirat. Environ Exercice Physiol 49 (1980) 232
Hurst JM, ThG Saul, CB DeHaven, R Branson: Use of high frequency jet ventilation during mechanical hyperventilation to reduce intracranial pressure in patients with multiple organ system injury. Neurosurgery 15 (1984) 530–534
Jonzon A, PA Öberg, G Sedin, U Sjöstrand: High frequency low tidal volume positive pressure ventilation. Acta Physiol Scand 15 (1984) 530–534
Klain M, RB Smith, MB Babinski: High frequency ventilation — an alternative to IMV? Crit Care Med 6 (1978) 95–96
Klain M: High frequency ventilation. Anaesthesiol Intensivmed 24 (1983) 176–181
Lunkenheimer PP, J Frank, H Ising, H Keller, H Dickhut: Intrapulmonaler Gaswechsel unter simulierter Apnoe durch transtrachealen, periodischen intrathorakalen Druckwechsel. Anaesthesist 22 (1973) 232
Monro A: Observation on the Structure and Function of the Nervous System. Creech & Johnson, Edinburgh, 1983
Sjöstrand U: High frequency positive pressure ventilation. A review. Crit Care Med 8 (1980) 345–364
Todd MM, SM Toutant, HM Shapiro: The effects of high frequency jet ventilation on intracranial pressure and brain surface movements in cats. Anesthesiology 54 (1981) 496–504
Toutant SM, MM Todd, JC Drummond, HM Shapiro: Cerebral blood flow during high frequency jet ventilation in cats. Crit Care Med 11 (1983) 712–716
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Donauer, E., Simon, J. & Strowitzkí, M. Effects of high-frequency jet ventilation on intracranial pressure in experimental head-brain injury. Neurosurg. Rev. 10, 229–231 (1987). https://doi.org/10.1007/BF01782052
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF01782052