Respiratory failure & ventilation

Safety and efficacy of high frequency jet ventilation: A systematic and narrative review

J Clin AnesthPublished Systematic and narrative review

Study context

Population
Adult and paediatric patients in operating room and ICU settings41 studies
Comparison
High-Frequency Jet Ventilation (HFJV) vs conventional ventilation strategies
Outcome
Safety and efficacy of HFJV
Methodological detailsPRISMA guidelines, Oxford Centre for Evidence-Based Medicine (OCEBM) levels of evidence, Cochrane risk-of-bias tools (RoB 2 and ROBINS-I), Common limitations: small sample sizes, methodological heterogeneity, risk of selection and publication bias
  • PRISMA guidelines
  • OCEBM levels of evidence
  • Cochrane risk-of-bias tools (RoB 2 and ROBINS-I)
  • Common limitations: small sample sizes, methodological heterogeneity, risk of selection and publication bias

Main finding

As reported in the abstract

  • Most studies showed favourable physiological and procedural outcomes with HFJV intraoperatively, most notably in airway surgery, tissue ablation and AF ablation
  • Neonatal intensive care: heterogeneous results, some studies improved gas exchange, others higher complication or mortality rates
  • Volatile anaesthetic delivery universally unfeasible
  • HFJV performance reduced in obese or COPD patients

Original publication

Safety and efficacy of high frequency jet ventilation: A systematic and narrative review. J Clin Anesth. Published 23 June 2025. doi:10.1016/j.jclinane.2025.111906

Composed by AI from the published abstract and checked against it. How Briefs are made →

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