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La ventilación de alta frecuencia oscilatoria (VAFO) se considera una alternativa de tratamiento de la insuficiencia respiratoria neonatal que requiere ventilación mecánica, especialmente en pacientes con enfermedad pulmonar difusa, si se aplica como terapia de rescate con una estrategia de alto volumen pulmonar para conseguir un adecuado reclutamiento alveolar. Se revisan los mecanismos de recambio gaseoso, indicaciones, controles y peculiaridades de uso de la VAFO en el período neonatal.
Palabras clave:
Recién nacido
Ventilación mecánica
Ventilación de alta frecuencia oscilatoria
High-frequency oscillatory ventilation (HFOV) may be considered as an alternative in the management of severe neonatal respiratory failure requiring mechanical ventilation. In patients with diffuse pulmonary disease, HFOV can applied as a rescue therapy with a high lung volume strategy to obtain adequate alveolar recruitment. We review the mechanisms of gas exchange, as well as the indications, monitoring and special features of the use HVOF in the neonatal period.
Key words:
Newborn
Mechanical ventilation
High-frequency oscillatory ventilation
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