Mechanical effects of airway humidification devices in difficult to wean patients

Critical Care Medicine

Volumn 31, Issue 5, 2003, Pages 1306-1311

  Girault, Christophe ^a   Breton, Lucie ^a   Richard, Jean Christophe ^a   Tamion, Fabienne ^a   Vandelet, Philippe ^a   Aboab, Jérôme ^a   Leroy, Jacques ^a   Bonmarchand, Guy ^a  

^a HÔPITAL CHARLES NICOLLE   (France)

Author keywords

Heat and moisture exchanger; Heated humidifier; Pressure support ventilation; Weaning; Work of breathing

Indexed keywords

ADULT; AGED; ARTICLE; ARTIFICIAL VENTILATION; BREATHING PATTERN; CHRONIC RESPIRATORY FAILURE; CLINICAL ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DIAPHRAGM MUSCLE; ESOPHAGUS PRESSURE; FEMALE; GAS EXCHANGE; HEAT EXCHANGE; HUMAN; HUMIDIFIER; INTENSIVE CARE UNIT; LUNG MINUTE VOLUME; MALE; MOISTURE; POSITIVE END EXPIRATORY PRESSURE; PRIORITY JOURNAL; PROSPECTIVE STUDY; RANDOMIZED CONTROLLED TRIAL; RESPIRATORY ACIDOSIS; UNIVERSITY HOSPITAL;

ACIDOSIS, RESPIRATORY; ADULT; AGED; APACHE; BLOOD GAS ANALYSIS; CHRONIC DISEASE; FEMALE; HEAT; HUMANS; HUMIDITY; MALE; MIDDLE AGED; NEBULIZERS AND VAPORIZERS; POSITIVE-PRESSURE RESPIRATION; PROSPECTIVE STUDIES; PULMONARY GAS EXCHANGE; RESPIRATORY INSUFFICIENCY; RESPIRATORY MECHANICS; RESPIRATORY MUSCLES; TREATMENT OUTCOME; VENTILATOR WEANING; WORK OF BREATHING;

EID: 0037986378     PISSN: 00903493     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.CCM.0000063284.92122.0E     Document Type: Article

References (32)

1. Cook DJ, Dejonghe B, Brochard L, et al: Influence of airway management on ventilator-associated pneumonia. JAMA 1998; 279:781-787
2. Martin C, Papazian L, Perrin G, et al: Performance evaluation of three vaporizing humidifiers and two heat and moisture exchangers in patients with minute ventilation ≥ 10 L/min. Chest 1992; 102:1347-1350
3. Roustan JP, Kielen J, Aubas P, et al: Comparison of hydrophobic heat and moisture exchangers with heated humidifiers during prolonged mechanical ventilation. Intensive Care Med 1992; 18:97-100
4. Dreyfuss D, Djedaïni K, Gros I, et al: Mechanical ventilation with heated humidifiers or heat and moisture exchangers: Effects on patient colonization and incidence of nosocomial pneumonia. Am J Respir Crit Care Med 1995; 151:986-992
5. Kollef M, Shapiro S, Boyd V, et al: A randomized clinical trial comparing an extended-use hygroscopic condenser humidifier with heated-water humidification in mechanically ventilated patients. Chest 1998; 113:759-767
6. Ricard JD, Markowicz P, Djedaïni K, et al: Bedside evaluation of efficient airway humidification during mechanical ventilation of the critically ill. Chest 1999; 115:1646-1652
7. Ploysongsang Y, Branson R, Rashkin MC, et al: Pressure flow characteristics of commonly used or heat and moisture exchangers. Am Rev Respir Dis 1988; 138:675-678
8. Chiaranda M, Verona L, Pinamonti O, et al: Use of heat and moisture exchanging (HME) filters in mechanically ventilated ICU patients: Influence on airway resistance. Intensive Care Med 1993; 19:462-466
9. Branson RD, Davis KJ: Evaluation of 21 passive humidifiers according to the ISO 9360 standard: Moisture output, dead space, and flow resistance. Respir Care 1996; 41:736-743
10. Pelosi P, Solca M, Ravagnan I, et al: Effects of heat and moisture exchangers on minute ventilation, ventilatory drive, and work of breathing during pressure-support ventilation in acute respiratory failure. Crit Care Med 1996; 24:1184-1188
11. Iotti GA, Olivei MC, Palo A, et al: Unfavorable mechanical effects of heat and moisture exchangers in ventilated patients. Intensive Care Med 1997; 23:399-405
12. Le Bourdellès G, Mier L, Fiquet B, et al: Comparison of the effects of heat and moisture exchangers and heated humidifiers on ventilation and gas exchange during weaning trials from mechanical ventilation. Chest 1996; 110:1294-1298
13. Esteban A, Alia I, Gordo F, et al: Extubation outcome after spontaneous breathing trials with T-tube or pressure support ventilation. Am J Respir Crit Care Med 1997; 156:459-465
14. Girault C, Daudenthun I, Chevron V, et al: Noninvasive ventilation as a systematic extubation and weaning technique in acute on chronic respiratory failure. A prospective randomized controlled study. Am J Respir Crit Care Med 1999; 160:86-92
15. Girault C, Richard JC, Chevron V, et al: Comparative physiologic effects of noninvasive assist-control and pressure support ventilation in acute hypercapnic respiratory failure. Chest 1997; 111:1639-1648
16. Pigot A, Chambrin MC, Ménager P, et al: Resdiag: Outil d'analyse de la fonction respiratoire chez le patient soumis à l'assistance ventilatoire. Innov Techn Biol Med 1996; 17:315-324
17. Campbell EJM, Westlake EK, Cherniack RM: Simple method of estimating oxygen consumption and efficiency of the muscles of breathing. J Appl Physiol 1957; 11:303-308
18. Ricard JD, Le Mière E, Markowicz P, et al: Efficiency and safety of mechanical ventilation with a heat and moisture exchanger changed only once a week. Am J Respir Crit Care Med 2000; 161:85-90
19. Banner MJ, Jaeger MJ, Kirby RR: Components of the work of breathing and implications for monitoring ventilator-dependent patients. Crit Care Med 1994; 22:515-523
20. Marini JJ: Should PEEP be used in airflow obstruction? Am Rev Respir Dis 1989; 140:1-3
21. Conti G, De Blasi RA, Rocco M, et al: Effects of the heat-moisture exchangers on dynamic hyperinflation of mechanically ventilated COPD patients. Intensive Care Med 1990; 16:441-443
22. Marini JJ, Rodriguez RM, Lamb V: The inspiratory workload of patient-initiated mechanical ventilation. Am Rev Respir Dis 1986; 134:902-909
23. MacIntyre NR, Cheng KCG, McConnell R: Applied PEEP during pressure support reduces the inspiratory threshold load of intrinsic PEEP. Chest 1997; 111:188-193
24. Ninane V, Yernault JL, De Troyer A: Intrinsic PEEP in patients with chronic obstructive pulmonary disease: Role of expiratory muscles. Am Rev Respir Dis 1993; 148:1037-1042
25. Jubran A, Tobin MJ: Pathophysiologic basis of acute respiratory distress in patients who fail a trial of weaning from mechanical ventilation. Am J Respir Crit Care Med 1997; 155:905-915
26. Bellemare F, Grassino A: Evaluation of human diaphragm fatigue. J Appl Physiol 1982; 53:1196-1206
27. Brochard L, Rauss A, Benito S, et al: Comparison of three methods of gradual withdrawal from ventilatory support during weaning from mechanical ventilation. Am J Respir Crit Care Med 1994; 150:896-903
28. Esteban A, Frutos F, Tobin MJ, et al: A comparison of four methods of weaning patients from mechanical ventilation. N Engl J Med 1995; 332:345-350
29. Brochard L, Rua F, Lorino H, et al: Inspiratory pressure support compensates for the additional work of breathing caused by the endotracheal tube. Anesthesiology 1991; 75:739-745
30. Tejeda M, Boix JH, Alvarez F, et al: Comparison of pressure support ventilation and assist-control ventilation in the treatment of respiratory failure. Chest 1997; 111:1322-1325
31. Zakynthinos SG, Vassilakopoulos T, Daniil Z, et al: Pressure support ventilation in adult respiratory distress syndrome: Short term effects of a servocontrolled mode. J Crit Care 1997; 12:161-172
32. Kirton O, DeHaven CB, Morgan JP, et al: Elevated imposed work of breathing masquerading as ventilator weaning intolerance. Chest 1995; 108:1021-1025