• Joshua Dilday, David Leon, and Catherine M Kuza.
• Department of Surgery, Keck School of Medicine of the University of Southern California, Los Angeles, California.
• Curr Opin Anaesthesiol. 2023 Apr 1; 36 (2): 126131126-131.

Purpose Of ReviewThe purpose was to examine the utility of high-frequency oscillatory ventilation (HFOV) in trauma and burn ICU patients who require mechanical ventilation, and provide recommendations on its use.Recent FindingsHFOV may be beneficial in burn patients with smoke inhalation injury with or without acute lung injury/acute respiratory distress syndrome (ARDS), as it improves oxygenation and minimizes ventilator-induced lung injury. It also may have a role in improving oxygenation in trauma patients with blast lung injury, pulmonary contusions, pneumothorax with massive air leak, and ARDS; however, the mortality benefit is unknown.SummaryAlthough some studies have shown promise and improved outcomes associated with HFOV, we recommend its use as a rescue modality for patients who have failed conventional ventilation.Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.

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