Small dead space heat and moisture exchangers do not impede gas exchange during noninvasive ventilation: a comparison with a heated ... View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2010-04-27

AUTHORS

Alexandre Boyer, Frederic Vargas, Gilles Hilbert, Didier Gruson, Maud Mousset-Hovaere, Yves Castaing, Didier Dreyfuss, Jean Damien Ricard

ABSTRACT

ObjectiveAdverse respiratory and gasometrical effects have been described in patients with acute respiratory failure (ARF) undergoing noninvasive ventilation (NIV) with standard heat and moisture exchangers (HME). We decided to evaluate respiratory parameters and arterial blood gases (ABG) of patients during NIV with small dead space HME compared with heated humidifier (HH).DesignProspective randomized crossover study.SettingA 16-bed medical intensive care unit (ICU).PatientsFifty patients receiving NIV for ARF.MeasurementsThe effects of HME and HH on respiratory rate, minute ventilation, EtCO2, oxygen saturation, airway occlusion pressure at 0.1 s, ABG, and comfort perception were compared during two randomly determined NIV periods of 30 min. The relative impact of HME and HH on these parameters was successively compared with or without addition of a flex tube (40 and 10 patients, respectively).Main resultsNo difference was observed between HME and HH regarding any of the studied parameters, whether or not a flex tube was added.ConclusionIf one decides to humidify patients’ airways during NIV, one may do so with small dead space HME or HH without altering respiratory parameters. More... »

PAGES

1348-1354

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00134-010-1894-5

DOI

http://dx.doi.org/10.1007/s00134-010-1894-5

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1032988111

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/20422150


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