Falaize Line, Leroux Karl, Prigent Hélène, Louis Bruno, Khirani Sonia, Orlikowski David, Fauroux Brigitte, Lofaso Frédéric
Service de Physiologie-Explorations Fonctionnelles, Services de Réanimation Médicale, et Centre d'Innovations Technologiques, Unité Mixte de Recherche 805, Hôpital Raymond Poincaré, Assistance Publique Hôpitaux de Paris, Garches, France, and EA 4497, Université de Versailles Saint-Quentin-en-Yvelines, France.
ASV Santé, Gennevilliers, France.
Respir Care. 2014 Jul;59(7):1048-52. doi: 10.4187/respcare.02711. Epub 2013 Oct 22.
The battery life (BL) of portable home ventilator batteries is reported by manufacturers. The aim of this study was to evaluate the effects of ventilator mode, breathing frequency, PEEP, and leaks on the BL of 5 commercially available portable ventilators.
The effects of the ventilator mode (volume controlled-continuous mandatory ventilation [VC-CMV] vs pressure support ventilation [PSV]), PEEP 5 cm H2O, breathing frequency (10, 15, and 20 breaths/min), and leaks during both volume-targeted ventilation and PSV on the BL of 5 ventilators (Elisée 150, Monnal T50, PB560, Vivo 50, and Trilogy 100) were evaluated. Each ventilator was ventilated with a test lung at a tidal volume of 700 ml and an inspiratory time of 1.2 s in the absence of leaks.
Switching from PSV to VC-CMV or the addition of PEEP did not significantly change ventilator BL. The increase in breathing frequency from 10 to 20 breaths/min decreased the BL by 18 ± 11% (P = .005). Leaks were associated with an increase in BL during the VC-CMV mode (18 ± 20%, P = .04) but a decrease in BL during the PSV mode (-13 ± 15%, P = .04).
The BL of home ventilators depends on the ventilator settings. BL is not affected by the ventilator mode (VC-CMV or PSV) or the addition of PEEP. BL decreases with an increase in breathing frequency and during leaks with a PSV mode, whereas leaks increase the duration of ventilator BL during VC-CMV.
便携式家用呼吸机电池的续航时间(BL)由制造商报告。本研究的目的是评估呼吸机模式、呼吸频率、呼气末正压(PEEP)和漏气对5种市售便携式呼吸机BL的影响。
评估了呼吸机模式(容量控制-持续强制通气[VC-CMV]与压力支持通气[PSV])、5 cm H₂O的PEEP、呼吸频率(10、15和20次/分钟)以及容量目标通气和PSV期间的漏气对5种呼吸机(Elisée 150、Monnal T50、PB560、Vivo 50和Trilogy 100)BL的影响。在无漏气情况下,每种呼吸机使用测试肺以700 ml潮气量和1.2 s吸气时间进行通气。
从PSV切换到VC-CMV或增加PEEP并未显著改变呼吸机BL。呼吸频率从10次/分钟增加到20次/分钟使BL降低了18±11%(P = 0.005)。漏气在VC-CMV模式下与BL增加相关(18±20%,P = 0.04),但在PSV模式下与BL降低相关(-13±15%,P = 0.04)。
家用呼吸机的BL取决于呼吸机设置。BL不受呼吸机模式(VC-CMV或PSV)或增加PEEP的影响。BL随呼吸频率增加而降低,在PSV模式下漏气时也降低,而在VC-CMV模式下漏气会增加呼吸机BL的持续时间。