Chronic Respiratory Failure Clinical Trial
Official title:
Short-term Effects of Humidification Devices on Respiratory Pattern and Work of Breathing During Invasive Ventilation
This study compares the short-term effects of a new humidification system (Hygrovent Gold) and two other humidification devices (heated and moisture exchanger and heated humidifier) on respiratory pattern and work of breathing, during invasive ventilation.
Three humidifying devices are commonly and indifferently used during mechanical ventilation,
but their impact on respiratory mechanics and, eventually, mechanical ventilation efficacy,
particularly in patients highly dependent from mechanical ventilation, are not
superimposable.
It has already been described that heated and moisture exchangers (HME), increasing dead
space, can negatively affect ventilatory function and gas exchange, in comparison to heated
humidifiers (HH).
The Hygrovent Gold, mainly because of its position between the tracheostomy and the Y-piece
of the ventilatory circuit and its structure, may lead to analogous or even worse effects,
determining and increase in inspiratory resistances and dead space and consequently an
increase in the work of breathing.
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