Clinical review: Humidifiers during non-invasive ventilation - key topics and practical implications
Identifieur interne : 005439 ( Main/Exploration ); précédent : 005438; suivant : 005440Clinical review: Humidifiers during non-invasive ventilation - key topics and practical implications
Auteurs : Antonio M. Esquinas Rodriguez [Espagne] ; Raffaele Scala [Italie] ; Arie Soroksky [Israël] ; Ahmed Bahammam [Arabie saoudite] ; Alan De Klerk [États-Unis] ; Arschang Valipour [Autriche] ; Davide Chiumello [Italie] ; Claude Martin [France] ; Anne E. Holland [Australie]Source :
- Critical Care [ 1364-8535 ] ; 2012.
Abstract
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.
Url:
DOI: 10.1186/cc10534
PubMed: 22316078
PubMed Central: 3396215
Affiliations:
- Arabie saoudite, Australie, Autriche, Espagne, France, Israël, Italie, États-Unis
- Floride, Lombardie, Provence-Alpes-Côte d'Azur, Victoria (État), Vienne (Autriche)
- Marseille, Melbourne, Milan, Vienne (Autriche)
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Holland</name><affiliation wicri:level="1"><nlm:aff id="I9">La Trobe University/Alfred Health, Level 4, The Alfred Centre, 99 Commercial Rd, 3004 Melbourne, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>La Trobe University/Alfred Health, Level 4, The Alfred Centre, 99 Commercial Rd, 3004 Melbourne</wicri:regionArea><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName></affiliation></author></analytic><series><title level="j">Critical Care</title><idno type="ISSN">1364-8535</idno><idno type="eISSN">1466-609X</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>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.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Shelly, Mp" uniqKey="Shelly M">MP Shelly</name></author><author><name sortKey="Lloyd, Gm" uniqKey="Lloyd G">GM Lloyd</name></author><author><name sortKey="Park, Gr" uniqKey="Park G">GR Park</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Williams, R" uniqKey="Williams R">R Williams</name></author><author><name sortKey="Rankin, N" uniqKey="Rankin N">N Rankin</name></author><author><name sortKey="Smith, T" uniqKey="Smith T">T Smith</name></author><author><name sortKey="Galler, D" uniqKey="Galler D">D Galler</name></author><author><name sortKey="Seakins, P" uniqKey="Seakins 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uniqKey="Morgenthaler T">TI Morgenthaler</name></author><author><name sortKey="Alessi, Ca" uniqKey="Alessi C">CA Alessi</name></author><author><name sortKey="Bailey, D" uniqKey="Bailey D">D Bailey</name></author><author><name sortKey="Boehlecke, B" uniqKey="Boehlecke B">B Boehlecke</name></author><author><name sortKey="Brown, Tm" uniqKey="Brown T">TM Brown</name></author><author><name sortKey="Coleman, J" uniqKey="Coleman J">J Coleman</name></author><author><name sortKey="Friedman, L" uniqKey="Friedman L">L Friedman</name></author><author><name sortKey="Kapen, S" uniqKey="Kapen S">S Kapen</name></author><author><name sortKey="Kapur, Vk" uniqKey="Kapur V">VK Kapur</name></author><author><name sortKey="Kramer, M" uniqKey="Kramer M">M Kramer</name></author><author><name sortKey="Lee Chiong, T" uniqKey="Lee Chiong T">T Lee-Chiong</name></author><author><name sortKey="Owens, J" uniqKey="Owens J">J Owens</name></author><author><name sortKey="Pancer, Jp" uniqKey="Pancer J">JP Pancer</name></author><author><name sortKey="Swick, Tj" uniqKey="Swick T">TJ Swick</name></author><author><name sortKey="Wise, Ms" uniqKey="Wise M">MS Wise</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Duong, M" uniqKey="Duong M">M Duong</name></author><author><name sortKey="Jayaram, L" uniqKey="Jayaram L">L Jayaram</name></author><author><name sortKey="Camfferman, D" uniqKey="Camfferman D">D Camfferman</name></author><author><name sortKey="Catcheside, P" uniqKey="Catcheside P">P Catcheside</name></author><author><name sortKey="Mykytyn, I" uniqKey="Mykytyn I">I Mykytyn</name></author><author><name sortKey="Mcevoy, Rd" uniqKey="Mcevoy R">RD McEvoy</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Arabie saoudite</li><li>Australie</li><li>Autriche</li><li>Espagne</li><li>France</li><li>Israël</li><li>Italie</li><li>États-Unis</li></country><region><li>Floride</li><li>Lombardie</li><li>Provence-Alpes-Côte d'Azur</li><li>Victoria (État)</li><li>Vienne (Autriche)</li></region><settlement><li>Marseille</li><li>Melbourne</li><li>Milan</li><li>Vienne (Autriche)</li></settlement></list><tree><country name="Espagne"><noRegion><name sortKey="Esquinas Rodriguez, Antonio M" sort="Esquinas Rodriguez, Antonio M" uniqKey="Esquinas Rodriguez A" first="Antonio M" last="Esquinas Rodriguez">Antonio M. Esquinas Rodriguez</name></noRegion></country><country name="Italie"><noRegion><name sortKey="Scala, Raffaele" sort="Scala, Raffaele" uniqKey="Scala R" first="Raffaele" last="Scala">Raffaele Scala</name></noRegion><name sortKey="Chiumello, Davide" sort="Chiumello, Davide" uniqKey="Chiumello D" first="Davide" last="Chiumello">Davide Chiumello</name></country><country name="Israël"><noRegion><name sortKey="Soroksky, Arie" sort="Soroksky, Arie" uniqKey="Soroksky A" first="Arie" last="Soroksky">Arie Soroksky</name></noRegion></country><country name="Arabie saoudite"><noRegion><name sortKey="Bahammam, Ahmed" sort="Bahammam, Ahmed" uniqKey="Bahammam A" first="Ahmed" last="Bahammam">Ahmed Bahammam</name></noRegion></country><country name="États-Unis"><region name="Floride"><name sortKey="De Klerk, Alan" sort="De Klerk, Alan" uniqKey="De Klerk A" first="Alan" last="De Klerk">Alan De Klerk</name></region></country><country name="Autriche"><region name="Vienne (Autriche)"><name sortKey="Valipour, Arschang" sort="Valipour, Arschang" uniqKey="Valipour A" first="Arschang" last="Valipour">Arschang Valipour</name></region></country><country name="France"><region name="Provence-Alpes-Côte d'Azur"><name sortKey="Martin, Claude" sort="Martin, Claude" uniqKey="Martin C" first="Claude" last="Martin">Claude Martin</name></region></country><country name="Australie"><region name="Victoria (État)"><name sortKey="Holland, Anne E" sort="Holland, Anne E" uniqKey="Holland A" first="Anne E" last="Holland">Anne E. 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