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01.02.2012 | Review

Clinical review: Humidifiers during non-invasive ventilation - key topics and practical implications

verfasst von: Antonio M Esquinas Rodriguez, Raffaele Scala, Arie Soroksky, Ahmed BaHammam, Alan de Klerk, Arschang Valipour, Davide Chiumello, Claude Martin, Anne E Holland

Erschienen in: Critical Care | Ausgabe 1/2012

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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.

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Titel: Clinical review: Humidifiers during non-invasive ventilation - key topics and practical implications
verfasst von: Antonio M Esquinas Rodriguez
Raffaele Scala
Arie Soroksky
Ahmed BaHammam
Alan de Klerk
Arschang Valipour
Davide Chiumello
Claude Martin
Anne E Holland
Publikationsdatum: 01.02.2012
Verlag: BioMed Central
Erschienen in: Critical Care / Ausgabe 1/2012
Elektronische ISSN: 1364-8535
DOI: https://doi.org/10.1186/cc10534

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