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Respiratory gas humidification is a method of artificially conditioning respiratory gas for the patient during therapy, and involves humidification, warming, and occasionally filtration of the gas being delivered. If these three measures are not performed to compensate for the natural conditioning of air by the respiratory system, lung ...
The development of heated humidified high flow started in 1999 with Vapotherm introducing the concept of high flow use with race horses. [2]High flow was approved by the U.S. Food and Drug Administration in the early 2000s and used as an alternative to positive airway pressure for treatment of apnea of prematurity in neonates. [3]
Humidification and suctioning are necessary to manage secretions in patients on mechanical ventilation. According to Branson (2007), the optimal humidification level "has been not well defined, but it is clear that in a patient with thick and copious secretions a heated humidifier is preferred to an HME".
Mapleson D systems are inefficient for spontaneous ventilation due to needing high gas flows to prevent rebreathing, but are efficient for controlled ventilation. A Bain system is a coaxial modification of the Mapleson D system. Mapleson E systems, also known as Ayre's T-piece, are used in anaesthesia for children. The reservoir consists of a ...
Bubble CPAP is a non-invasive ventilation strategy for newborns with infant respiratory distress syndrome (IRDS). It is one of the methods by which continuous positive airway pressure (CPAP) is delivered to a spontaneously breathing newborn to maintain lung volumes during expiration.
Respiratory humidification during surgery helps maintain body temperature and normal function of the respiratory mucosa. [31] [32] In the same way that some animals pant to lose excess body heat, heat is lost through the lungs during mechanical or assisted ventilation. Heated humidification of respiratory gases during surgery has been ...
Ventilators may also be equipped with monitoring and alarm systems for patient-related parameters (e.g., pressure, volume, and flow) and ventilator function (e.g., air leakage, power failure, mechanical failure), backup batteries, oxygen tanks, and remote control. The pneumatic system is nowadays often replaced by a computer-controlled turbopump.
The machine is commonly used together with a mechanical ventilator, breathing system, suction equipment, and patient monitoring devices; strictly speaking, the term "anaesthetic machine" refers only to the component which generates the gas flow, but modern machines usually integrate all these devices into one combined freestanding unit, which ...