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Insufficient Humidification of Respiratory Gases in Patients Who Are Undergoing Therapeutic Hypothermia at a Paediatric and Adult Intensive Care Unit
Joint Authors
Tanaka, Yukari
Iwata, Sachiko
Kinoshita, Masahiro
Tsuda, Kennosuke
Tanaka, Shoichiro
Hara, Naoko
Shindou, Ryota
Harada, Eimei
Kijima, Ryouji
Yamaga, Osamu
Ohkuma, Hitoe
Ushijima, Kazuo
Sakamoto, Teruo
Yamashita, Yushiro
Iwata, Osuke
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-04-20
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
For cooled newborn infants, humidifier settings for normothermic condition provide excessive gas humidity because absolute humidity at saturation is temperature-dependent.
To assess humidification of respiratory gases in patients who underwent moderate therapeutic hypothermia at a paediatric/adult intensive care unit, 6 patients were studied over 9 times.
Three humidifier settings, 37-default (chamber-outlet, 37°C; Y-piece, 40°C), 33.5-theoretical (chamber-outlet, 33.5°C; Y-piece, 36.5°C), and 33.5-adjusted (optimised setting to achieve saturated vapour at 33.5°C using feedback from a thermohygrometer), were tested.
Y-piece gas temperature/humidity and the incidence of high (>40.6 mg/L) and low (<32.9 mg/L) humidity relative to the target level (36.6 mg/L) were assessed.
Y-piece gas humidity was 32.0 (26.8–37.3), 22.7 (16.9–28.6), and 36.9 (35.5–38.3) mg/L {mean (95% confidence interval)} for 37-default setting, 33.5-theoretical setting, and 33.5-adjusted setting, respectively.
High humidity was observed in 1 patient with 37-default setting, whereas low humidity was seen in 5 patients with 37-default setting and 8 patients with 33.5-theoretical setting.
With 33.5-adjusted setting, inadequate Y-piece humidity was not observed.
Potential risks of the default humidifier setting for insufficient respiratory gas humidification were highlighted in patients cooled at a paediatric/adult intensive care unit.
Y-piece gas conditions can be controlled to the theoretically optimal level by adjusting the setting guided by Y-piece gas temperature/humidity.
American Psychological Association (APA)
Tanaka, Yukari& Iwata, Sachiko& Kinoshita, Masahiro& Tsuda, Kennosuke& Tanaka, Shoichiro& Hara, Naoko…[et al.]. 2017. Insufficient Humidification of Respiratory Gases in Patients Who Are Undergoing Therapeutic Hypothermia at a Paediatric and Adult Intensive Care Unit. Canadian Respiratory Journal،Vol. 2017, no. 2017, pp.1-6.
https://search.emarefa.net/detail/BIM-1150886
Modern Language Association (MLA)
Tanaka, Yukari…[et al.]. Insufficient Humidification of Respiratory Gases in Patients Who Are Undergoing Therapeutic Hypothermia at a Paediatric and Adult Intensive Care Unit. Canadian Respiratory Journal No. 2017 (2017), pp.1-6.
https://search.emarefa.net/detail/BIM-1150886
American Medical Association (AMA)
Tanaka, Yukari& Iwata, Sachiko& Kinoshita, Masahiro& Tsuda, Kennosuke& Tanaka, Shoichiro& Hara, Naoko…[et al.]. Insufficient Humidification of Respiratory Gases in Patients Who Are Undergoing Therapeutic Hypothermia at a Paediatric and Adult Intensive Care Unit. Canadian Respiratory Journal. 2017. Vol. 2017, no. 2017, pp.1-6.
https://search.emarefa.net/detail/BIM-1150886
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1150886