Reallon Elsa, Laujin Hugo, Cadiergue Vincent, Sainfort-Gallier Anne
Université Claude Bernard Lyon 1, France; Service Pharmacie, Centre Hospitalier Ardèche Nord, 07100 Annonay, France.
Service Réanimation, Centre Hospitalier Ardèche Nord, 07100 Annonay, France.
Ann Pharm Fr. 2022 Mar;80(2):145-150. doi: 10.1016/j.pharma.2021.04.008. Epub 2021 Apr 30.
During the coronavirus pandemic, breathing filters have been essential in the medical care of infected patients. The worldwide demand caused a disruption in the supply, which led to a multiplication of the references used. The lack of formation available on the subject was an impediment for pharmacists (buyer, medical devices, intensive car unit) and it appears to be necessary to redact a formation about those filters, from the experience acquired during the sanitary crisis. Multiple breathing filters references exist which may be classify according to their filtration mechanism (mechanical filtration or electrostatic filtration) and by the eventual presence of a humidifying action (Heat and Moisture Exchangers; hydrophobic, hygroscopic, or mixed). In anaesthesia, the use of pure mechanical filter is preferred; in resuscitation unit, heat and moisture exchangers filter or simple filter plus heated humidifier are used. During the COVID-19 pandemic, the filters duration of use has been lengthened to limit the disruption risk.
在新冠疫情期间,呼吸过滤器对于感染患者的医疗护理至关重要。全球需求导致供应中断,这使得所使用的产品种类激增。关于该主题的可用培训不足对药剂师(采购人员、医疗设备、重症监护病房)来说是一个障碍,并且似乎有必要根据在卫生危机期间获得的经验编写一份关于这些过滤器的培训材料。存在多种呼吸过滤器产品,可根据其过滤机制(机械过滤或静电过滤)以及是否具有加湿功能(热湿交换器;疏水、吸湿或混合)进行分类。在麻醉中,首选使用纯机械过滤器;在复苏单元中,则使用热湿交换器过滤器或简单过滤器加加热加湿器。在新冠疫情期间,过滤器的使用时长被延长,以降低中断风险。