Use of a random forcing for high-frequency ventilation.

Previous applications of high-frequency oscillatory ventilation (HFOV) have used cyclic forcings with the frequency of oscillation considered to be a fundamental parameter. A question that is addressed in the present study is whether or not periodicity is an essential requirement for this mode of ventilation to occur. It was found possible to adequately ventilate anesthetized and paralyzed cats with volume excursions below the dead-space level using a random band-limited forcing. Experimental conditions were close to a constant flow variance (VARF) state, and arterial CO2 tension varied linearly as a function of the ratio of noise bandwidth and VARF. Periodicity per se did not appear to be a requirement for HFOV to occur, a result consistent with predictions of Taylor dispersion theory.