Original Articles Open access

Contenuto di vapore acqueo durante CPAP con elmetto: abbiamo bisogno di umidificare i gas inspirati?

Authors

Published
18 January 2018
Section
Original Articles
DOI
10.4081/scenario.2015.72
Pages
5-14

Abstract

Introduzione: durante CPAP con Elmetto (E-CPAP), il paziente inspira del gas medicale in un sistema sottoposto a pressione positiva, senza contatto con l’ambiente esterno. In questa situazione potrebbero
svilupparsi condizioni di umidità assoluta di vapore acqueo inferiore a quanto suggerito dalla letteratura.
Materiale e metodi: studio a metodi misti in tre fasi. Nella prima fase, svolta in vivo, sono stati arruolati 15 pazienti sottoposti a E-CPAP senza umidificazione.

Supporting Agencies

References

  1. Crimi C, Noto A, PriNCi P, et al. A European survey of noninvasive ventilation practices. Eur Respir J. 2010;36:362-9.
  2. Ferrer m, SellAreS J,torreS A. The use of noninvasive ventilation by Italian physicians in the clinical practice. Minerva Anestesiol. 2011;77:941-2.
  3. Crimi C, Noto A, PriNCi P, et al. Survey of noninvasive ventilation practices: a snapshot of Italian practice. Minerva Anestesiol. 2011;77:971-8.
  4. SquAdroNe V, CohA m, Cerutti e, et al. Continuous positive airway pressure for treatment of postoperative hypoxemia: a randomized controlled trial. JAMA. 2005 2;293:589-95.
  5. BellANi G, PAtroNiti N, GreCo m, et al. The use of helmets to deliver noninvasive continuous positive airway pressure in hypoxemic acute respiratory failure. Minerva Anestesiol. 2008;74:651-6.
  6. PriNCiPi t, PANtANetti S, CAtANi F,et al. Noninvasive continuous positive airway pressure delivered by helmet in hematological malignancy patients
  7. with hypoxemic acute respiratory failure. Intensive Care Med. 2004;30:147-50.
  8. SquAdroNe V, mASSAiA m, BruNo B, et al. Early CPAP prevents evolution of acute lung injury in patients with hematologic malignancy Intensive. Care Med. 2010;36:1666-74.
  9. luCChiNi A, VAlSeCChi d, elli S et al. The comfort of patients ventilated with the Helmet Bundle. Assist Inferm Ric. 2010;29:174-83.
  10. uetA K,tomitA t, uChiyAmA A, et al. In uence of humidi cation on comfort during noninvasive ventilation with a helmet. Respir Care. 2013;58: 798-804.
  11. Chiumello d, ChieriChetti m, tAllAriNi F et al. Effect of a heated humidi er during continuous positive airway pressure delivered by a helmet. Crit Care. 2008;12:R55.
  12. NAVA S, NAVAleSi P, GreGoretti C. Interfaces and humidi cation for noninvasive mechanical ventilation. Respir Care. 2009;54:71-84.
  13. eSquiNAS rodriGuez Am, SCAlA r, SoroKSKy A et al. Clinical review: humidi ers during noninvasive ventilation--key topics and practical implications. Crit Care. 2012;16:203.
  14. eSquiNAS A, eSCoBAr C, ChAVez A et al. Noninvasive mechanical ventilation and humidi cation in acute respiratory failure. A morpho histological and clinical study of side effects. Am J Respir Crit Care Med 2002, 165:A385.
  15. eSquiNAS A, NAVA S, SCAlA R, et al. Humidi cation and dif cult endotracheal intubation in failure of noninvasive mechanical ventilation (NIV). Preliminary results. Am J Respir Crit Care Med 2008, 177:A644.
  16. American National Standards Institute; American Society of Anesthesiologists. Standard for humidi ers and nebulizers for medical use. ANSI 1979;Z79:9.
  17. International Consensus Conferences in Intensive Care Medicine: noninvasive positive pressure ventilation in acute Respiratory failure. Am J Respir Crit Care Med 2001, 163:283-291.
  18. PAtroNiti N, Foti G, mANFio A, et al. Head helmet versus face mask for noninvasive continuous positive airway pressure: a physiological study. Intensive Care Med. 2003;29:1680-7.
  19. tACCoNe P, heSS d, CAiroNi P, et al. Continuous positive airway pressure delivered with a “helmetâ€: effects on carbon dioxide rebreathing. Crit Care Med 2004;32:2090-2096.
  20. Chiumello d, PeloSi P, CArleSSo E, et al. Noninvasive positive pressure ventilation delivered by helmet vs. standard face mask. Intensive Care Med. 2003;29:1671-9.
  21. reStrePo rd, Walsh BK American Association of Respiratory Care (AARC). Humidi cation during invasive and noninvasive mechanical ventilation: 2012. Respir Care. 2012;57:782-8.
  22. NiShidA t, NiShimurA m, FuJiNo Y et al. Performance of heated humidi ers with a heated wire according to ventilatory settings. J Aerosol Med 2001;14:43-51
  23. lellouCheF,mAGGioreSM,lyAzidiAetal.Watercontentofdeliveredgasesduringnoninvasiveventilationinhealthysubjects.IntensiveCareMed 2009;35:987-995.

Metrics

Citations and online attention from Dimensions, Altmetric and PlumX.

PlumX Metrics

License

Aniarti has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.