• Jason Higgins, Bob Estetter, Dean Holland, Brian Smith, and Stephen Derdak.
• Parkland Health and Hospital System, Respiratory Care Department, Dallas, TX, USA.
• Crit. Care Med. 2005 Mar 1; 33 (3 Suppl): S196-203.

ObjectiveTo summarize clinical information and assessment techniques relevant to respiratory therapists caring for adult patients on high-frequency oscillatory ventilation (HFOV).Data SourceReview of observational studies, controlled trials, case reports, institutional experience, and hospital HFOV guidelines for adult patients.Data SummaryRespiratory therapists require unique physical assessment skills and knowledge in managing patients on HFOV. Respiratory therapy procedures relevant to HFOV include setting endotracheal tube cuff leaks, performing lung recruiting maneuvers, endotracheal suctioning, and monitoring ventilator parameters. Respiratory therapists serve as essential team members in the creation and implementation of written HFOV guidelines (e.g., algorithms) to optimize patient care.ConclusionRespiratory therapy assessment and procedural skills are essential in providing optimal care to adult patients on HFOV.

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