In vitro evaluation of an active heat-and-moisture exchanger: The hygrovent gold

Respiratory Care

Volumn 55, Issue 4, 2010, Pages 460-466

  Pelosi, Paolo ^a,c   Severgnini, Paolo ^a   Selmo, Gabriele ^a   Corradini, Michela ^a   Chiaranda, Maurizio ^a   Novario, Raffaele ^a   Park, Gilbert R ^b  

^a UNIVERSITY OF INSUBRIA   (Italy)

^b ADDENBROOKE S HOSPITAL   (United Kingdom)

^c OSPEDALE DI CIRCOLO   (Italy)

Author keywords

Air flow resistance; Heat and moisture exchanger; Humidification; Humidity; Mechanical ventilation

Indexed keywords

ARTICLE; BODY TEMPERATURE; CONTROLLED STUDY; DEVICE; EVALUATION; HEAT; HEAT AND MOISTURE EXCHANGER; HUMIDITY; HYPOTHERMIA; IN VITRO STUDY; LUNG MINUTE VOLUME; MOISTURE; WEIGHT; AIRWAY RESISTANCE; ARTIFICIAL VENTILATION; BIOLOGICAL MODEL; ENDOTRACHEAL INTUBATION; EQUIPMENT; EQUIPMENT DESIGN; HUMAN; HYDROPHOBICITY; HYPERTHERMIC THERAPY; INSTRUMENTATION; NEBULIZER; RESPIRATORY FAILURE; WATER VAPOR; WETTABILITY;

AIRWAY RESISTANCE; EQUIPMENT DESIGN; EQUIPMENT FAILURE ANALYSIS; HUMANS; HYDROPHOBICITY; HYPERTHERMIA, INDUCED; HYPOTHERMIA; INTUBATION, INTRATRACHEAL; MODELS, BIOLOGICAL; NEBULIZERS AND VAPORIZERS; RESPIRATION, ARTIFICIAL; RESPIRATORY INSUFFICIENCY; STEAM; WETTABILITY;

EID: 77954924296     PISSN: 00201324     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (32)

1. Shelly MP, Lloyd GM, Park GR. A review of the mechanisms and methods of humidification of inspired gases. Intensive Care Med 1988;14(1):1-9.
2. Branson RD. Humidification for patients with artificial airways. Re-spir Care 1999;44(6):630-642.
3. Rogers DF. Physiology of airway mucus secretion and pathophysi-ology of hypersecretion. Respir Care 2007;52(9):1134-1146.
4. Shelly MP. The humidification and filtration functions of the airways. Respir Care Clin N Am 2006;12(2):139-148.
5. Sottiaux TM. Consequences of under- and over-humidification. Re-spir Care Clin N Am 2006;12(2):233-252.
6. Cook D, Ricard JD, Reeve B, Randall J, Wigg M, Brochard L, et al. Ventilator circuit and secretion management strategies: a Franco-Canadian survey. Crit Care Med 2000;28(10):3547-3554.
7. American Association for Respiratory Care. AARC Clinical Practice Guideline. Humidification during mechanical ventilation. Respir Care 1992;37(8):887-890.
8. Kirton OC, DeHaven B, Morgan J, Morejon O, Civetta J. A prospective, randomized comparison of an in-line heat moisture exchange filter and heated wire humidifiers: rates of ventilator-associated early-onset (community-acquired) or late-onset (hospital-acquired) pneumonia and incidence of endotracheal tube occlusion. Chest 1997;112(4):1055-1059.
9. Larsson A, Gustafsson A, Svanborg L. A new device for 100 per cent humidification of inspired air. Crit Care 2000;4(1):54-60.
10. Branson RD, Davis K, Brown R, Rashkin M. Comparison of three humidification techniques during mechanical ventilation: patient selection, cost, and infection considerations. Respir Care 1996;41(9): 809-816.
11. Dreyfuss D, Djedaini K, Gros I, Mier L, Le Bourdelles G, Cohen Y, 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(4):986-992.
12. Ricard JD, Boyer A, Dreyfuss D. The effect of humidification on the incidence of ventilator-associated pneumonia. Respir Care Clin N Am 2006;12(2):263-273.
13. Kola A, Eckmanns T, Gastmeier P. Efficacy of heat and moisture exchangers in preventing ventilator-associated pneumonia: meta-analysis of randomized controlled trials. Intensive Care Med 2005;31(1):5-11.
14. Unal N, Kanhai JK, Buijk SL, Pompe JC, Holland WP, Gultuna I, et al. A novel method of evaluation of three heat-moisture exchangers in six different ventilator settings. Intensive Care Med 1998;24(2):138-146.
15. Roustan JP, Kienlen J, Aubas P, Aubas S, du Cailar J. Comparison of hydrophobic heat and moisture exchangers with heated humidifier during prolonged mechanical ventilation. Intensive Care Med 1992; 18(2):97-100.
16. Rathgeber J. Devices used to humidify respired gases. Respir Care Clin N Am 2006;12(2):165-182.
17. Girault C, Breton L, Richard JC, Tamion F, Vandelet P, Aboab J, et al. Mechanical effects of airway humidification devices in difficult to wean patients. Crit Care Med 2003;31(5):1306-1311.
18. Pelosi P, Solca M, Ravagnan I, Tubiolo D, Ferrario L, Gattinoni L. Effects of heat and moisture exchangers on minute ventilation, ventila-tory drive, and work of breathing during pressure-support ventilation in acute respiratory failure. Crit Care Med 1996;24(7):1184-1188.
19. Nakagawa NK, Macchione M, Petrolino HM, Guimaraes ET, King M, Saldiva PH, et al. Effects of a heat and moisture exchanger and a heated humidifier on respiratory mucus in patients undergoing mechanical ventilation. Crit Care Med 2000;28(2):312-317.
20. Pelosi P, Chiumello D, Severgnini P, De Grandis CE, Landi L, Chierichetti LM, et al. Performance of heated wire humidifiers: an in vitro study. J Crit Care 2007;22(3):258-264.
21. Thiery G, Boyer A, Pigne E, Salah A, De Lassence A, Dreyfuss D, et al. Heat and moisture exchangers in mechanically ventilated intensive care unit patients: a plea for an independent assessment of their performance. Crit Care Med 2003;31(3):699-704.
22. Martin C, Thomachot L, Quinio B, Viviand X, Albanese J. Comparing two heat and moisture exchangers with one vaporizing humidifier in patients with minute ventilation greater than 10 L/min. Chest 1995;107(5):1411-1415.
23. Ricard JD, Le Miere E, Markowicz P, Lasry S, Saumon G, Djedaini K, 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(1):104-109.
24. Djedaini K, Billiard M, Mier L, Le Bourdelles G, Brun P, Marko-wicz P, et al. Changing heat and moisture exchangers every 48 hours rather than 24 hours does not affect their efficacy and the incidence of nosocomial pneumonia. Am J Respir Crit Care Med 1995;152(5 Pt 1):1562-1569.
25. Chiumello D, Pelosi P, Park G, Candiani A, Bottino N, Storelli E, et al. In vitro and in vivo evaluation of a new active heat moisture exchanger. Crit Care 2004;8(5):R281-R288.
26. Thomachot L, Viviand X, Boyadjiev I, Vialet R, Martin C. The combination of a heat and moisture exchanger and a Booster: a clinical and bacteriological evaluation over 96 h. Intensive Care Med 2002;28(2):147-153.
27. Branson RD, Campbell R, Johannigman JA, Ottaway M, Davis K, Luchette F, et al. Comparison of conventional heated humidification with a new active hygroscopic heat and moisture exchanger in mechanically ventilated patients. Respir Care 1999;44(8):912-917.
28. Kapadia F, Shelly MP, Anthony JM, Park GR. An active heat and moisture exchanger. Br J Anaesth 1992;69(6):640-642.
29. Lellouche F, Qader S, Taille S, Lyazidi A, Brochard L. Under-humid-ification and over-humidification during moderate induced hypothermia with usual devices. Intensive Care Med 2006;32(7):1014-1021.
30. Chiaranda M, Verona L, Pinamonti O, Dominioni L, Minoja G, Conti G. Use of heat and moisture exchanging (HME) filters in mechanically ventilated ICU patients: influence on airway flow-resistance. Intensive Care Med 1993;19(8):462-466.
31. Prat G, Renault A, Tonnelier JM, Goetghebeur D, Oger E, Boles JM, et al. Influence of the humidification device during acute respiratory distress syndrome. Intensive Care Med 2003;29(12):2211-2215.
32. Ricard JD, Cook D, Griffith L, Brochard L, Dreyfuss D. Physicians' attitude to use heat and moisture exchangers or heated humidifiers: a Franco-Canadian survey. Intensive Care Med 2002;28(6):719-725.