高频通气(HFV)是一种高通气频率和低潮气量的通气方式,其通气频率至少为机体正常呼吸频率的4倍,而潮气量近于或小于解剖死腔。其主要类型包括:高频正压通气、高频喷射通气和高频振荡通气等。其中,高频振荡通气(HFOV)是目前公认的最先进高频通气技术,在临床中应用最广泛。
The high frequency oscillatory ventilation (HFOV) is characterized with low tidal volume and low mean airway pressure, and can well support the breathing of the patients with respiratory diseases. Since the HFOV was proposed, it has been widely concerned by medical and scientific researchers. About the HFOV, this paper discussed its current research status and prospected its future development in technologies. The research status of ventilation model, mechanisms and ventilation mode were introduced in detail. In the next years, the technologies in developing HFOV will be focused on: to develop the branched high-order nonlinear or volume-depended resistance-inertance-compliance (RIC) ventilation model, to fully understand the mechanisms of HFOV and to achieve the noninvasive HFOV. The development in technologies of HFOV will be beneficial to the patients with respiratory diseases who failed with conventional mechanical ventilation as one of considerable ventilation methods.