Technical solutions of semi-closed circuits for heliox administration in spontaneously breathing patients with severe airway obstruction
A semi-closed circuit represents a cost effective alternative of heliox application in patients with severe airway obstruction. A semi-closed circuit has its intrinsic resistance that compromises the positive effect of heliox in the obstructed airways. The resistance may be reduced and depends on the design of the circuit. The article proposes two alternative configurations of semi-closed circuits for heliox application differing in their resistive properties and complexity of their construction.
Keywords:
heliox, helium, respiratory care, semi-close circuit, COPD, airway resistance, work of breathing
Autoři:
Barbora Němcová; Karel Roubík
Působiště autorů:
Czech Technical University, Faculty of Biomedical Engineering, Prague, Czech Republic
Vyšlo v časopise:
Lékař a technika - Clinician and Technology No. 2, 2014, 44, 30-33
Kategorie:
Původní práce
Souhrn
A semi-closed circuit represents a cost effective alternative of heliox application in patients with severe airway obstruction. A semi-closed circuit has its intrinsic resistance that compromises the positive effect of heliox in the obstructed airways. The resistance may be reduced and depends on the design of the circuit. The article proposes two alternative configurations of semi-closed circuits for heliox application differing in their resistive properties and complexity of their construction.
Keywords:
heliox, helium, respiratory care, semi-close circuit, COPD, airway resistance, work of breathing
Zdroje
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[3] Frazier, M. D, Cheifetz, I. M: The role of heliox in pediatric respiratory disease. Peadiatr Respir Rev 2010, 11:46-53.
[4] Roche-Campo, F., Vignaux, L., Galia, F., Lyazidi, A., Vargas, F., Texereau, J., Apiou-Sbirlea, G., Jolliet, P., Brochard, L.: Delivery of helium–oxygen mixture during spontaneous breathing: evaluation of three high-concentration face masks. Intensive Care Med 2011, 37:1787-1792.
[5] Roubík, K., Zazula, R., Strnadová, A., Zábrodský, V., Spálený, A., Muller, M., Chlumský, J., Tyll, T.: Spontaneous breathing of heliox using a semi-closed circuit: A bench study. The International Journal of Artificial Organs 2012. 35(6): 466-470.
[6] Strnadová, A., Zazula, R., Zábrodský, V., Spálený, A., Roubík, K., Horáková, Z.: Zhodnocení efektu helioxu na dechovou práci spontánně dýchajícího pacienta u polouzavřeného ventilačního okruhu. Lékař a technika 2009. 38(4): 46-51.
[7] van Heerde, M., Roubik, K., Kopelent, V., Plötz, F. B, Markhorst, D. G. Demand flow facilitates spontaneous breathing during high-frequency oscillatory ventilation in a pig model. Crit Care Med. 2009; 37:1068-1073.
[8] Roubik, K., Rafl, J., van Heerde, M., Markhorst, D. G. Design and control of a demand flow system assuring spontaneous breathing of a patient connected to an HFO ventilator. IEEE T Bio-Med Eng. 2011; 58:3225–3233.
Štítky
BiomedicínaČlánok vyšiel v časopise
Lékař a technika
2014 Číslo 2
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- Technical solutions of semi-closed circuits for heliox administration in spontaneously breathing patients with severe airway obstruction