Clinical review: Humidifiers during non-invasive ventilation - key topics and practical implications

被引：50

作者：

Esquinas Rodriguez, Antonio M. ^{[1
]}

Scala, Raffaele ^{[2
]}

Soroksky, Arie ^{[3
]}

BaHammam, Ahmed ^{[4
]}

de Klerk, Alan ^{[5
]}

Valipour, Arschang ^{[6
]}

Chiumello, Davide ^{[7
]}

Martin, Claude ^{[8
]}

Holland, Anne E. ^{[9
]}

机构：

[1] Hosp Morales Meseguer, Intens Care Unit, Murcia 30500, Spain

[2] Osped Campo Marte, UO PNEUMOLOGIA, UTIR, Lucca, Italy

[3] E Wolfson Med Ctr, Hulon, Israel

[4] King Saud Univ, Coll Med, Univ Sleep Disorders Ctr, Riyadh 11461, Saudi Arabia

[5] Florida Hosp Mem Med Ctr, Dept Neonatol BirthCare Ctr, Daytona Beach, FL 32117 USA

[6] Ludwig Boltzmann Inst COPD & Resp Epidemiol, Dept Resp & Crit Care Med, A-1140 Vienna, Austria

[7] Fdn IRCCS Ca Granda Osped Maggiore Policlin, Dipartimento Anestesia Rianimaz & Terapia Dolore, Milan, Italy

[8] Hop Nord Marseille, Serv Anesthesie Reanimat, F-13915 Marseille 20, France

[9] La Trobe Univ Alfred Hlth, Alfred Ctr, Melbourne, Vic 3004, Australia

来源：

CRITICAL CARE | 2012年 / 16卷 / 01期

关键词：

POSITIVE AIRWAY PRESSURE; OBSTRUCTIVE SLEEP-APNEA; IN-VIVO EFFICACY; QUALITY-OF-LIFE; HEATED HUMIDIFICATION; CPAP-THERAPY; MOUTH LEAK; PATIENT COMPLIANCE; NASAL SYMPTOMS; GAS;

D O I：

10.1186/cc10534

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Inadequate gas conditioning during non-invasive ventilation (NIV) can impair the anatomy and function of nasal mucosa. The resulting symptoms may have a negative effect on patients' adherence to ventilatory treatment, especially for chronic use. Several parameters, mostly technical aspects of NIV, contribute to inefficient gas conditioning. Factors affecting airway humidity during NIV include inspiratory flow, inspiratory oxygen fraction, leaks, type of ventilator, interface used to deliver NIV, temperature and pressure of inhaled gas, and type of humidifier. The correct application of a humidification system may avoid the effects of NIV-induced drying of the airway. This brief review analyses the consequences of airway dryness in patients receiving NIV and the technical tools necessary to guarantee adequate gas conditioning during ventilatory treatment. Open questions remain about the timing of gas conditioning for acute or chronic settings, the choice and type of humidification device, the interaction between the humidifier and the underlying disease, and the effects of individual humidification systems on delivered humidity.

引用

页数：7

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