Dave Chintan, Cameron Paul, Basmaji John, Campbell Gordon, Buga Edward, Slessarev Marat
Division of Critical Care Medicine, Department of Medicine, Western University, London, ON, Canada.
Medical Biophysics Department, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada.
Crit Care Explor. 2021 Apr 26;3(4):e0410. doi: 10.1097/CCE.0000000000000410. eCollection 2021 Apr.
ICUs worldwide are facing resource shortages including increased need for provision of invasive mechanical ventilation during the current coronavirus disease 2019 pandemic. Fearing shortage of ventilators, many private companies and public institutions have focused on building new inexpensive, open-source ventilators. However, designing and building new ventilators is not sufficient for addressing invasive mechanical ventilation needs in resource-limited settings. In this commentary, we highlight additional interdependent constraints that should be considered and provide a framework for addressing these constraints to ensure that the increasing stockpile of open-source ventilators are easily deployable and sustainable for use in resource-limited settings.
全球范围内的重症监护病房（ICU）都面临资源短缺的问题，包括在当前2019冠状病毒病大流行期间对有创机械通气的需求增加。由于担心呼吸机短缺，许多私营公司和公共机构都专注于制造新型廉价的开源呼吸机。然而，设计和制造新型呼吸机不足以满足资源有限环境下对有创机械通气的需求。在这篇评论中，我们强调了其他相互依存的限制因素，这些因素应予以考虑，并提供一个解决这些限制因素的框架，以确保不断增加的开源呼吸机库存能够在资源有限的环境中轻松部署并可持续使用。
