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COVID-19大流行期间低成本无创呼吸机的性能评估。一项台架研究。

Performance Evaluation of a Low-Cost Non-Invasive Ventilator during the COVID-19 Pandemic. A Bench Study.

作者信息

Correvon Nils, Michotte Jean-Bernard, Contal Olivier

机构信息

School of Health Sciences (HESAV), HES-SO University of Applied Sciences and Arts of Western Switzerland, 1005 Lausanne, Switzerland.

出版信息

Healthcare (Basel). 2022 Nov 7;10(11):2229. doi: 10.3390/healthcare10112229.

DOI:10.3390/healthcare10112229
PMID:36360570
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9691251/
Abstract

BACKGROUND

During the COVID-19 breakout, a global call for low-cost portable ventilators was made following the strong demand for ventilatory support techniques. Among a few development projects, COVIDair non-invasive ventilator was developed and produced in a record time during the critical period of spring 2020.

OBJECTIVES

To evaluate COVIDair performance (i.e., inspiratory trigger delay time, TDT, pressurization time and inspiratory to expiratory time ratio, I:E) on a test bench simulating physiological characteristics of breathing.

METHOD

Performance tests were conducted on a breathing simulator (ASL 5000, IngMar Medical™) in two different lung mechanics (i.e., normal and severe restrictive).

RESULTS

Under normal pulmonary mechanics, the inspiratory TDT is on average between 89.0 (±2.1) and 135.0 (±9.7) ms. In a situation of severe restrictive pulmonary mechanics, the inspiratory TDT is on average between 80 (±3.1) and 99.2 (±5.5) ms. Pressurization time to pre-set inspiratory pressure was on average from 234.6 (±5.5) to 318.6 (±1.9) ms. The absolute difference between the actual I:E cycling measure and the pre-set I:E cycling value ranged from 0.1 to 10.7% on average.

CONCLUSION

In normal and severe restrictive pulmonary mechanics scenarios, the performance of COVIDair meets the expected standards for non-invasive ventilators.

摘要

背景

在新冠疫情爆发期间,由于对通气支持技术的强烈需求,全球呼吁开发低成本便携式呼吸机。在众多开发项目中,COVIDair无创呼吸机于2020年春季的关键时期在创纪录的时间内研发并生产出来。

目的

在模拟呼吸生理特征的试验台上评估COVIDair的性能(即吸气触发延迟时间、TDT、增压时间和吸气与呼气时间比,I:E)。

方法

在呼吸模拟器(ASL 5000,英格玛医疗™)上针对两种不同的肺力学情况(即正常和严重限制性)进行性能测试。

结果

在正常肺力学情况下,吸气TDT平均在89.0(±2.1)至135.0(±9.7)毫秒之间。在严重限制性肺力学情况下,吸气TDT平均在80(±3.1)至99.2(±5.5)毫秒之间。达到预设吸气压力的增压时间平均为234.6(±5.5)至318.6(±1.9)毫秒。实际I:E循环测量值与预设I:E循环值之间的绝对差值平均在0.1%至10.7%之间。

结论

在正常和严重限制性肺力学情况下,COVIDair的性能符合无创呼吸机的预期标准。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/128b/9691251/ce1b5d12c33c/healthcare-10-02229-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/128b/9691251/ce1b5d12c33c/healthcare-10-02229-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/128b/9691251/ce1b5d12c33c/healthcare-10-02229-g001.jpg

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Recent advances in low-cost, portable automated resuscitator systems to fight COVID-19.用于抗击新冠疫情的低成本便携式自动复苏系统的最新进展。
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Med Sci Monit. 2015 Jan 26;21:310-7. doi: 10.12659/MSM.892080.
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