Development of Personalized Non-Invasive Ventilation Interfaces for Neonatal and Pediatric Application Using Additive Manufacturing

Bockstedte, Marit; Xepapadeas, Alexander B.; Spintzyk, Sebastian; Poets, Christian F.; Koos, Bernd; Aretxabaleta, Maite

doi:10.3390/jpm12040604

Cited by 9 publications

(16 citation statements)

References 48 publications

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“…The literature and patent database search resulted in 1898 potentially relevant studies. After screening, 18 articles [8][9][10][11][17][18][19][20][21][22][23][24][25][26][27][28][29][30] and five abstracts [31][32][33][34][35] were included in this scoping review (Figure 2). The studies originated in North-America, 20,21,23,25,26,[30][31][32][33]35 Europe, 9,11,17,18,24,29 Asia, 8,10,19,27,28 and South-America.…”

Section: Resultsmentioning

confidence: 99%

“…After screening, 18 articles [8][9][10][11][17][18][19][20][21][22][23][24][25][26][27][28][29][30] and five abstracts [31][32][33][34][35] were included in this scoping review (Figure 2). The studies originated in North-America, 20,21,23,25,26,[30][31][32][33]35 Europe, 9,11,17,18,24,29 Asia, 8,10,19,27,28 and South-America. 22 Regarding study design, five case reports, 24,27,30,32,35 eight experimental studies,…”

Section: Resultsmentioning

confidence: 99%

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Current Advances and Gaps in Knowledge on Personalizing Masks for Noninvasive Respiratory Support

Pigmans,

Smith,

Markhorst

et al. 2024

Respir Care

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Non-invasive respiratory support delivered through a face mask has become a cornerstone treatment for adults and children with acute or chronic respiratory failure. However, an imperfect mask fit using commercially available interfaces is frequently encountered, which may result in patient discomfort and treatment inefficiency or failure. To overcome this challenge, over the last decade increasing attention has been given to the development of personalized face masks, which are custom made to address the specific facial dimensions of an individual patient. With this scoping review we aim to provide a comprehensive overview of the current advances and gaps in knowledge regarding the personalization of ventilation masks. We performed a systematic search of the literature, and identified and summarized a total of 23 studies. Most studies included were involved in the development of nasal masks.Studies targeting adult respiratory care mainly focused on chronic (home) ventilation and included some clinical testing in a relevant subject population. In contrast, pediatric studies focused mostly on respiratory support in the acute setting, while testing was limited to bench or case studies only. Most studies were positive regarding the performance (i.e. comfort, level of air leak and mask pressure applied to the skin) of personalized masks in bench testing or in human, healthy or patient, subjects. Advances in the field of 3D scanning and soft material printing were identified, but important gaps in knowledge remain. In particular, more insight into cushion materials, headgear design, clinical feasibility and cost-effectiveness is needed, before definite recommendations can be made regarding implementation of large scale clinical programs that personalize non-invasive respiratory support masks for adults and children.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Current Advances and Gaps in Knowledge on Personalizing Masks for Noninvasive Respiratory Support

Pigmans,

Smith,

Markhorst

et al. 2024

Respir Care

View full text Add to dashboard Cite

show abstract

“…Although custom-made masks are nowadays mainly parts of the "history" of NIV in pediatrics, an increasing interest for new kinds of custom-made masks has emerged, with the widespread accessibility to 3D printing. [27][28][29][30][31][32][33][34] Indeed, with advancements in 3D technology, custom-made masks appear less challenging to be made, and may be of great utility in children with particular face shapes and/or anatomical features. 6,35 However, the mask design should respond to several requirements and considerations.…”

Section: D Printingmentioning

confidence: 99%

“…36 Outcomes related to costs, efficacy, and comfort of custom-made masks but also pitfalls due to 3D printing, such as intentional leaks or pressure injuries, need to be further investigated. 33,37 3 | NIV DEVICES…”

Section: D Printingmentioning

confidence: 99%

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Mask interfaces and devices for home noninvasive ventilation in children

Khirani,

Ducrot

2024

Pediatric Pulmonology

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Home noninvasive ventilation (NIV), including continuous (CPAP) and bilevel (BPAP) positive airway pressure, is increasingly used in children worldwide. In this narrative review, we present a comprehensive summary of the equipment available for home NIV in pediatrics, excluding neonates. NIV may be challenging in young children, as the majority of the equipment has been developed for adults. Regarding the interfaces, only a few masks have been specifically developed for young children in recent years, while older children may benefit from a large variety of interfaces. Even though much progress has been made, skin injuries are still present, and need to be managed rapidly. Several studies addressed the management of the side effects, but recent studies are lacking regarding orofacial anomalies. No recent study reported the available interfaces for young children and the strategies for an optimal mask fit. Regarding the devices, an adapted NIV device to pediatrics that allows an adequate patient's breathing detection should guarantee optimal ventilatory efficiency and monitoring of NIV. A close follow‐up and regular monitoring should be mandatory to rule out the potential issues, optimize NIV therapy and ascertain the efficacy of NIV. However, studies are lacking to guide the choice of devices in young children and the optimal management of home NIV in pediatrics. We summarized the characteristics of the different interfaces available for young children and the limitations of NIV devices. We finally addressed potential areas for future research on long‐term home NIV in children.

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Safety practices and occupational hazards of the additive manufacturing of high entropy alloys

Modupeola,

Popoola

2023

Saf. Extreme Environ.

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Additive manufacturing (AM), often known as 3D printing, is becoming more popular in contemporary sectors for product development, prototyping, and the production of complicated, precise components. This technique provides benefits such as shorter production cycles, lower tooling costs, waste reduction, simpler customization, and new distribution options. AM has been applied in automotive, aerospace, medical devices, construction, and biomedical applications. High-entropy alloys (HEAs) are gaining research interest in materials science and engineering due to their multiple principal elements and potential for numerous compositions. These alloys present fundamental issues that challenge conventional theories, models, and methods. Recent studies in HEAs address phase formation, novel properties, and structural and functional potential, making HEAs promising candidates for several applications. Layer-by-layer construction of intricate structures using high-entropy alloys requires melting metal powders with lasers or other heat sources. However, AM in high-entropy alloys poses unique safety issues. This review's ultimate goal is to raise awareness of the occupational hazards associated with additive manufacturing and provide practical solutions for safe and efficient operations. It serves as an interesting call to action for employers, workers, and regulators to prioritize safety practices in the growing field of additive manufacturing of high-entropy alloys, ultimately leading to a safer and more sustainable workplace.

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Development of Personalized Non-Invasive Ventilation Interfaces for Neonatal and Pediatric Application Using Additive Manufacturing

Cited by 9 publications

References 48 publications

Current Advances and Gaps in Knowledge on Personalizing Masks for Noninvasive Respiratory Support

Current Advances and Gaps in Knowledge on Personalizing Masks for Noninvasive Respiratory Support

Mask interfaces and devices for home noninvasive ventilation in children

Safety practices and occupational hazards of the additive manufacturing of high entropy alloys

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