Validation of the disposable T-piece resuscitator (Neo-Tee): A bench study
| Autor: | Anne De Jaegere, Olivier J Nijland, Lizzy de Groene, Anton H. van Kaam |
|---|---|
| Přispěvatelé: | Anesthesiology, Amsterdam Reproduction & Development (AR&D), Neonatology, Other Research |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Resuscitator
medicine.medical_treatment Peak inspiratory pressure 030204 cardiovascular system & hematology law.invention Positive-Pressure Respiration 03 medical and health sciences 0302 clinical medicine law Intensive Care Units Neonatal 030225 pediatrics T piece resuscitator medicine Humans Continuous positive airway pressure Positive pressure ventilation business.industry Peep level Infant Newborn Masks Obstetrics and Gynecology Equipment Design General Medicine respiratory system Respiration Artificial Cardiopulmonary Resuscitation respiratory tract diseases Pressure measurement Pediatrics Perinatology and Child Health Airway business Biomedical engineering |
| Zdroj: | Archives of Disease in Childhood-Fetal and Neonatal Edition, 104(6), F594-F597. BMJ Publishing Group de Groene, L, de Jaegere, A P, Nijland, O J & van Kaam, A H 2019, ' Validation of the disposable T-piece resuscitator (Neo-Tee): A bench study ', Archives of Disease in Childhood-Fetal and Neonatal Edition, vol. 104, no. 6, pp. F594-F597 . https://doi.org/10.1136/archdischild-2018-315298 Archives of disease in childhood. Fetal and neonatal edition, 104(6), F594-F597. BMJ Publishing Group |
| ISSN: | 1359-2998 |
| DOI: | 10.1136/archdischild-2018-315298 |
| Popis: | ObjectiveThe Neo-Tee Infant T-piece resuscitator is a disposable T-piece resuscitator. The aim of this bench study was to assess the accuracy of the Neo-Tee using a measurement set-up and settings mimicking clinical practice.Study designNine Neo-Tee devices were tested using a face mask interface and a manikin. Pressures were set using the built-in manometer and simultaneously measured at the interface. Peak inspiratory pressure (PIP) and positive end-expiratory pressure (PEEP) were studied under static conditions and positive pressure ventilation (PPV), using a wide range of clinically relevant flows and pressures. Pressures were measured without adjusting for a possible offset of PIP and PEEP after switching from static pressures to PPV. In an additional subset of measurements, PIP/PEEP offsets on the Neo-Tee manometer after starting PPV were adjusted.ResultsUnder static conditions, setting the PEEP level with the Neo-Tee manometer results in overestimation of the true PEEP applied at the airway opening, with a difference of approximately 1.5 cmH2O. When switching to PPV, this difference almost disappears. In contrast to PEEP, PIP levels measured at the airway opening were accurate.Adjusting PIP and PEEP on the built-in manometer after starting PPV was necessary in all measurements, but this did not improve the accuracy of the targeted pressure delivery, especially for PEEP. A gas flow rate of 5 L/min was insufficient to reach commonly used PEEP levels of 5 cmH2O.ConclusionThe Neo-Tee T-piece resuscitator is accurate for delivering a static inflation and PPV, but not for delivering continuous positive airway pressure. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|