Nacharaju Deepthi, Menzel Whitney, Fontaine Evan, Child Dennis, El Haddi S James, Nonas Stephanie, Chi Albert
Division of Trauma, Critical Care and Acute Care Surgery, Department of Surgery, Oregon Health and Science University, Portland, OR.
Respiratory Therapy, Oregon Health and Science University, Portland, OR.
Crit Care Explor. 2020 Oct 2;2(10):e0226. doi: 10.1097/CCE.0000000000000226. eCollection 2020 Oct.
To examine rapidly emerging ventilator technologies during coronavirus disease 2019 and highlight the role of CRISIS, a novel 3D printed solution.
Published articles, literature, and government guidelines that describe and review emergency use ventilator technologies.
Literature was chosen from peer-reviewed journals and articles were limited to recent publications.
All information regarding ventilator technology was extracted from primary sources.
Analysis of technology and relevance to coronavirus disease 2019 physiology was collectively synthesized by all authors.
The coronavirus disease 2019 pandemic has placed massive stress on global supply chains for ventilators due to the critical damage the virus causes to lung function. There is an urgent need to increase supply, as hospitals become inundated with patients requiring intensive respiratory support. Coalitions across the United States have formed in order to create new devices that can be manufactured quickly, with minimal resources, and provide consistent and safe respiratory support. Due to threats to public health and the vulnerability of the U.S. population, the Food and Drug Administration released Emergency Use Authorizations for new or repurposed devices, shortening the approval timeline from years to weeks. The list of authorized devices varies widely in complexity, from automated bagging techniques to repurposed sleep apnea machines. Three-dimensional printed ventilators, such as "CRISIS," propose a potential solution to increase the available number of vents for the United States and abroad, one that is dynamic and able to absorb the massive influx of hospitalized patients for the foreseeable future.
研究2019年冠状病毒病期间迅速出现的呼吸机技术,并强调一种新型3D打印解决方案CRISIS的作用。
描述和综述紧急使用呼吸机技术的已发表文章、文献及政府指南。
文献选自同行评审期刊,文章限于近期出版物。
所有关于呼吸机技术的信息均从原始资料中提取。
所有作者共同对技术及其与2019年冠状病毒病生理学的相关性进行分析并综合。
2019年冠状病毒病大流行给全球呼吸机供应链带来了巨大压力,因为该病毒对肺功能造成了严重损害。随着医院里需要重症呼吸支持的患者大量涌入,迫切需要增加供应。美国各地已组建联盟,以制造能够快速生产、资源消耗最少且能提供持续安全呼吸支持的新设备。由于对公众健康构成威胁以及美国人口的脆弱性,美国食品药品监督管理局发布了新设备或重新利用设备的紧急使用授权,将审批时间从数年缩短至数周。授权设备清单的复杂程度差异很大,从自动装袋技术到重新利用的睡眠呼吸暂停机器。诸如“CRISIS”这样的3D打印呼吸机为增加美国国内外可用呼吸机数量提出了一种潜在解决方案,这种解决方案具有灵活性,能够在可预见的未来接纳大量住院患者。