Larsson A, Gustafsson A, Svanborg L
University of Copenhagen, Department of Anesthesiology, Gentofte University Hospital, Hellerup, Denmark.
Crit Care. 2000;4(1):54-60. doi: 10.1186/cc651. Epub 2000 Jan 24.
A new humidifier for use during mechanical ventilation in endotracheally intubated patients is described and tested. The humidifier is based on a heat-moisture exchanger, which absorbs the expired heat and moisture and releases it into the inspired air. External heat and water are then added at the patient side of the heat-moisture exchanger, so that the inspired gas should reach 100% humidity (44 mg/l) at 37 degrees C. In bench tests using constant and decelerating inspiratory flow and minute volumes of 3-25 l the device gave an absolute humidity of 41-44 mg/l, and it reduced the amount of water consumed in eight mechanically ventilated patients compared with a conventional active humidifier. During a 24-h test period there was no water condensation in the ventilator tubing with the new device.
本文介绍并测试了一种用于气管插管患者机械通气期间的新型加湿器。该加湿器基于热湿交换器,它吸收呼出的热量和水分,并将其释放到吸入的空气中。然后在热湿交换器的患者端添加外部热量和水,以使吸入气体在37摄氏度时达到100%湿度(44毫克/升)。在使用恒定和减速吸气流量以及每分钟3-25升分钟通气量的台架试验中,该设备的绝对湿度为41-44毫克/升,与传统的主动加湿器相比,它减少了八名机械通气患者的耗水量。在24小时的测试期间,使用新设备时呼吸机管道中没有出现水凝结现象。