High Frequency Ventilators
Physics!
Neonatal Disease
A & P
Miscleanneous
100

This ventilator is the first intention mode of ventilation for all infants <27 weeks at UCDMC

What is the Bunnel Life Pulse Jet Ventilator?

100

While conventional breaths mainly operate on the gas moving as bulk flow, high frequency ventilation operates mainly on the principles of this type of flow

What is laminar flow?

100

In this disease caused by surfactant deficiency neonates have higher oxygenation needs due to decreased diffusive capacity and airway collapse

What is RDS?

100

This the type of cell that premature neonates are lacking in that causes them to have stiff lungs

What are t?ype 2 pneumocytes?

100

This parameter, not PaCO2, is the direct primary control of ventilation in HFJV

What is PIP, amplitude, or driving pressure?

200

This older high frequency ventilator gives you precise control of your mean airway pressure and features active exhalation

What is the 3100 A high frequency oscillation ventilator?

200

This type of flow is a combination of laminar flow and molecular diffusion where high frequency oscillations create velocity gradients across the airway where gas in the center travels faster, and gas near the wall moves slower.

What is Taylor Dispersion?

200

This disease is characterized by accumulation of lung damage and the necessity of oxygen therapy upon discharge

What is Bronchopulmonary Dysplasia?

200

This stage of development is between 17 weeks GA and 27 weeks GA, and is characterized by primitive alveoli

What is the canalicular stage?

200

This high frequency ventilator requires the use of special hubs specific to the size of the patients ETT

What is the Jet ventilator?

300

This high frequency ventilator is often used for transport.

What is the TxP?

300

This physics principle used in high frequency ventilation utilizes oscillations to help evenly distribute gas between different lung regions

What is Pendullft?

300
This neonatal disease is characterized by air leaks that are not a pneumothorax or a pneumomediastinum?

What is pulmonary interstitial emphysema?

300

This stage between 27 weeks and 36 weeks is marked with improved has exchange and developed alveoli

What is the saccular stage?

300

This setting on the HFOV determines lung volume and is the key determinant of oxygenation

What is the MAP?

400

This high frequency ventilator is used only in the PICU at UCDMC and gives conventional breaths using oscillations and the principles of high frequency ventilation

What is the VDR-4?

400

This is the physics principle that creates a constant stream of fresh gas down the middle of the airway with expired gas traveling down the outside of the airway, especially with the HFJV/

Coaxial flow

400

This is another older name for RDS

What is Hyaline Membrane Disease?

400

This distinct feature of the chest wall of neonates decreases their ability to take deep breaths and makes them prone to airway collapse

What is a compliant chest wall?
400

This assessment is the tools essential to determine if tidal volume is adequate in high frequency ventilation

What is chest wiggle?

500

This is one of the names for the box that creates the jet pulses on the high frequency jet ventilator.

What is the flow-interrupter, chatterbox, or whisper box?

500

This principle pertaining mostly to HFOV helps to ventilate with low Vt, evenly distribute across distal airways, reduced risk of volutramua and atelctrauma

What is wave propagation and pressure transmission?

500

This disease is caused by infants that get meconium in their airways during childbirth

What is Meconium Aspiration Syndrome?

500

This feature of neonatal and pediatric airways makes them especially vulnerable to obstruction and collapse

What are small airways?

500

What is the ratio of MAP to Amplitude where you run the risk of active exhalation overcoming opening pressure?

What is a 1:3 ratio?