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湿热交换器-增强器对气管切开患者的加湿效果

Effectiveness of Humidification with Heat and Moisture Exchanger-booster in Tracheostomized Patients.

作者信息

Gonzalez Isabel, Jimenez Pilar, Valdivia Jorge, Esquinas Antonio

机构信息

Intensive Care Unit, Complejo Hospitalario de León, León, Spain.

Intensive Care Unit, Hospital Morales Meseguer, Murcia, Spain.

出版信息

Indian J Crit Care Med. 2017 Aug;21(8):528-530. doi: 10.4103/ijccm.IJCCM_117_17.

Abstract

BACKGROUND

The two most commonly used types of humidifiers are heated humidifiers and heat and moisture exchange humidifiers. Heated humidifiers provide adequate temperature and humidity without affecting the respiratory pattern, but overdose can cause high temperatures and humidity resulting in condensation, which increases the risk of bacteria in the circuit. These devices are expensive. Heat and moisture exchanger filter is a new concept of humidification, increasing the moisture content in inspired gases.

AIMS

This study aims to determine the effectiveness of the heat and moisture exchanger (HME)-Booster system to humidify inspired air in patients under mechanical ventilation.

MATERIALS AND METHODS

We evaluated the humidification provided by 10 HME-Booster for tracheostomized patients under mechanical ventilation using Servo I respirators, belonging to the Maquet company and Evita 4.

RESULTS

There was an increase in the inspired air humidity after 1 h with the humidifier.

CONCLUSION

The HME-Booster combines the advantages of heat and moisture exchange minimizing the negatives. It increases the amount of moisture in inspired gas in mechanically ventilated tracheostomized patients. It is easy and safe to use. The type of ventilator used has no influence on the result.

摘要

背景

两种最常用的加湿器类型是加热加湿器和热湿交换器。加热加湿器可提供适当的温度和湿度,且不影响呼吸模式,但过量使用会导致高温和高湿度,进而产生冷凝水,增加回路中细菌滋生的风险。这些设备价格昂贵。热湿交换过滤器是一种新的加湿概念,可增加吸入气体中的水分含量。

目的

本研究旨在确定热湿交换器(HME)-增强器系统对机械通气患者吸入空气的加湿效果。

材料与方法

我们评估了10个HME-增强器对使用迈柯唯公司的Servo I呼吸机和Evita 4呼吸机进行机械通气的气管切开患者的加湿情况。

结果

使用加湿器1小时后,吸入空气湿度增加。

结论

HME-增强器结合了热湿交换的优点,将负面影响降至最低。它增加了机械通气气管切开患者吸入气体中的水分含量。使用简便且安全。所使用的呼吸机类型对结果没有影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/279b/5588489/6017f5223068/IJCCM-21-528-g001.jpg

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