TY - JOUR T1 - Editor’s Commentary JF - Respiratory Care SP - i LP - i VL - 67 IS - 7 A2 - , Y1 - 2022/07/01 UR - http://rc.rcjournal.com/content/67/7/i.abstract N2 - This month’s Editor’s Choice is a prospective observational study of high frequency percussive ventilation (HFPV) in pediatric bronchiolitis. White and colleagues describe the changes in gas exchange following transition from invasive mechanical ventilation to HFPV in 41 infants. Most subjects met criteria for pediatric ARDS. Following transition to HFPV, subjects had improvements in ventilation despite a reduction in peak inspiratory pressure. Changes in oxygenation were mixed. They concluded that HFPV provided improved ventilation at reduced airway pressures in pediatric bronchiolitis. Dominick and others provide an accompanying editorial which suggests that HFPV appears to have a role in improving ventilation, but that inconsistent application of HFPV settings limits the utility of the findings. They call for larger trials of HFPV with consistent application of the technique and defined outcomes to provide evidence for a method often used, but not completely understood.Roberts and others evaluated a tele-ICU clinical rotation for respiratory therapy students who were prevented from in-person clinical rotations as a consequence of COVID-19 restrictions. Students spent two 4-h clinical rotations under the supervision of experienced respiratory therapists (RTs). Students performed remote patient-ventilator assessments, including interpretation of ventilator waveforms, arterial blood gases, and chest radiographs. Students then completed pre- and post-rotation surveys assessing their confidence managing mechanical ventilation and experience with telemedicine. Students expressed greater confidence in patient assessment, and students as well as preceptors had positive perceptions of the program. Varekojis opines that the study demonstrates that a tele-ICU rotation is feasible and … ER -