Galmén Karolina, Harbut Piotr, Freedman Jacob, Jakobsson Jan G
Department of Anaesthesia & Intensive Care, Institution for Clinical Science, Karolinska Institutet, Danderyd University Hospital, Stockholm, Sweden.
Department of Surgery, Institution for Clinical Sciences, Karolinska Institutet, Danderyd University Hospital, Stockholm, Sweden.
F1000Res. 2017 May 30;6:756. doi: 10.12688/f1000research.10823.1. eCollection 2017.
Various forms of high-frequency ventilation (HFV) have been described. HFV is broadly defined as artificial ventilation of the lungs with sub-deadspace tidal volumes delivered using supra-physiological frequencies. HFV has been used in anaesthesia and intensive care for special procedures and conditions since the 1960s. Clinical interest in the use and the technical evolution of HFV has developed over time. There is a renewed interest in HFV for avoiding parenchymal movement during stereotactic tumour ablation. The present paper aims to give an overview of the fundamental physiology, technical aspects, and clinical challenges of HFV in ablation procedures during general anaesthesia, where HFV is used to minimise the movements of the ablation target.
已经描述了各种形式的高频通气（HFV）。HFV被广泛定义为使用超生理频率输送小于死腔潮气量的肺人工通气。自20世纪60年代以来，HFV已用于麻醉和重症监护中的特殊手术和情况。随着时间的推移，人们对HFV的使用及其技术发展的临床兴趣不断增加。在立体定向肿瘤消融过程中，为避免实质运动，人们对HFV重新产生了兴趣。本文旨在概述全身麻醉下消融手术中HFV的基本生理学、技术方面和临床挑战，在这些手术中HFV用于尽量减少消融靶点的移动。
