Evidence of Inadequate Humidification of Inspired Gas During Artificial Ventilation of Newborn Babies in the British Isles

Tarnow‐Mordi, William; Sutton, Philip P.; Fletcher, M. E.; Wilkinson, A

doi:10.1016/s0140-6736(86)90424-1

Cited by 14 publications

(10 citation statements)

References 8 publications

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“…tersuchungen zeigte sich, daß die zur Atemgasanfeuchtung eingesetzten Systeme bei der Respiratortherapie Neugeborener physiologische Bedingungen häufig nicht gewährleisten können (18,20,21). Somit stellt sich bei der künstlichen Beatmung Neugeborener die Frage nach der optimalen Temperatur und dem optimalen Wassergehalt der Lnspirationsgase und nach deren technischer Realisierung irn klinischen Alltag.…”

Section: Eunclassified

“…SO Lig: ten unsere Untersuchungen, daß mit Anfeuchtersystemen, wie sie in der Neonatologie zum Einsatz kommen, in etwa 30 ' 10 der Megreihen der Internationale Standard für die Atemgas-anfeuchtung von 30 mgH20/1 Luft unterschritten wurde. Zu ahnlichen Ergebnissen kamen andere Untersucher (20,21,22). Eine der Ursachen fur die ungenügende Befeuchtung liegt darin, daß die Atemgastemperatur im Schlauchsystem bei der Passage durch einen kalten Raum und einen relativ kiihlen Inkubator abfällt.…”

Section: Lunclassified

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Vergleich verschiedener Atemgas-Anfeuchtersysteme für die Respiratortherapie Frühgeborener im Inkubator

Hanssler

Tennhoff²,

Roll³

1994

Anästhesiol Intensivmed Notfallmed Schmerzther

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Section: Eunclassified

Section: Lunclassified

Vergleich verschiedener Atemgas-Anfeuchtersysteme für die Respiratortherapie Frühgeborener im Inkubator

Hanssler

Tennhoff²,

Roll³

1994

Anästhesiol Intensivmed Notfallmed Schmerzther

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“…Ideally, the humidifier conditions the gas in such a way that physiological conditions are met when the gas enters the lungs. Insufficient humidification will result in drying of the respiratory mucosa and a reduction in ciliary activity, mucus flow and static compliance . On the other hand, excessive heating and humidification can also have adverse effects, such as pulmonary oedema, fever and fluid overload .…”

Section: Introductionmentioning

confidence: 99%

A humidifier in the invasive mode during noninvasive respiratory support could increase condensation and thereby impair airway patency

2018

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“…The pulmonary function and the cleansing speed of ciliay in the airways in 100% relative humidity is very effective 2 . The physiological humidity or 100% saturation of inhaled air with water vapor is provided by the evaporation about 44 mg H2O /L water 16,15,9 . Standard humidity of inhaled air in England is 33 mg H 2 O/L 16,15 .…”

mentioning

confidence: 99%

“…The physiological humidity or 100% saturation of inhaled air with water vapor is provided by the evaporation about 44 mg H2O /L water 16,15,9 . Standard humidity of inhaled air in England is 33 mg H 2 O/L 16,15 . The active thermal humidifier of ventilators should at least provide 30 mg/L water vapor at a temperature of 31-35 °C 16 .…”

mentioning

confidence: 99%

Investigation of Correct Application of Ventilators‘ Humidifier Systems Before and After Nursing Education in Intensive Care Units

Pouryaghobi¹,

Ahmadinejad²,

Hajimaghsoudi³

et al. 2015

Biosci., Biotech. Res. Asia

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Provision of inspiratory humidity in patients connected to ventilator prevents drying and increasing the density of airway secretions, airway obstruction and following complications. Nursing stuff plays an important role at the correct application of ventilator's humidifiers. In this study we evaluate the effect of nursing education on the correct application of ventilator's humidifiers in intensive care units. This research was done as a randomized double blind study at two stages: At first step, 327 connected ventilators to patient were investigated according to the presence of humidifier, distilled water in the humidifier's container, connection tubes, connectors and connection of humidifier system to inspiratory arm. Then nursing education was done for correct application of ventilator's humidifiers in intensive care units, without previous information about research proposal. At second step, after the nursing education, all stages similar to first step were repeated and the data were recorded in questionnaire. Data were analyzed by SPSS software, Chi-square and fisher tests. According to analysis of data statically, before and after nursing education: The %91.40 and %82.60 of ventilators had humidifier system, respectively, which the reduction was statically significant (P= 0.001). The %49.80 and % 65.20 of humidifier systems had connectors and connective tubes, which the increase was statically significant (P= 0.00). The %39.10 and %47.80 of humidifiers had distilled water in their containers, respectively, which was statically significant (P= 0.04). Active and connected ventilators to patient that had humidifier system, connective tubes connected to inspiratory arm and humidifier's container with distilled water simultaneously were formed %26.60 and %23.50 of ventilators, the difference was not statically significant (P= 0.37). Nursing education for proper and complete usage of humidifiers in patients under ventilators had a few effect that could be caused by: the lack of the supply of humidifier system, the high amount of duties, the personnel shortages, the low motivation of nurses, the lack of personnel attention to the learning and employing their own knowledge and the lack of the knowledge of nurses about the research.

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Evidence of Inadequate Humidification of Inspired Gas During Artificial Ventilation of Newborn Babies in the British Isles

Cited by 14 publications

References 8 publications

Vergleich verschiedener Atemgas-Anfeuchtersysteme für die Respiratortherapie Frühgeborener im Inkubator

Vergleich verschiedener Atemgas-Anfeuchtersysteme für die Respiratortherapie Frühgeborener im Inkubator

A humidifier in the invasive mode during noninvasive respiratory support could increase condensation and thereby impair airway patency

Investigation of Correct Application of Ventilators‘ Humidifier Systems Before and After Nursing Education in Intensive Care Units

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