Short-term endotracheal climate changes and clinical effects of a heat and moisture exchanger with an integrated electrostatic virus and bacterial filter developed for laryngectomized individuals

Autor:	Sara H. Muller, Frans J. M. Hilgers, Renske J. Scheenstra, Irene Jacobi, A. H. Ackerstaff, Andrew D. Vincent
Přispěvatelé:	ACLC (FGw), Faculteit der Geneeskunde, AII - Amsterdam institute for Infection and Immunity, Ear, Nose and Throat
Rok vydání:	2010
Předmět:	Male medicine.medical_specialty Static Electricity Laryngectomy Sputum Production Heating Postoperative Complications Tracheostomy Daily practice Humans Medicine Prospective Studies Intensive care medicine Patient compliance Aged Aged 80 and over Bacteria business.industry Micropore Filters Humidity General Medicine Middle Aged Bacterial Filter Trachea Otorhinolaryngology Heat and moisture exchanger Anesthesia Viruses Feasibility Studies Female business
Zdroj:	Acta Oto-Laryngologica, 130(6), 739-746. Informa Healthcare Acta oto-laryngologica, 130(6), 739-746. Informa Healthcare
ISSN:	0001-6489
Popis:	CONCLUSION: Both the regularly used heat and moisture exchanger (R-HME) and the HME with both an antimicrobial and hygroscopic element (F-HME) are effective moisture exchangers. The antimicrobial filter of the F-HME acts as a heat exchanger. The external features of the F-HME were experienced as inconvenient, but decreased sputum production was reported as well. OBJECTIVES: Recently an HME with an integrated antimicrobial filter has become available for use in laryngectomized patients. The purpose of this study was to assess its short-term endotracheal climate changes and feasibility in daily practice. METHODS: Endotracheal temperature and humidity were successfully measured in 13 laryngectomized patients (2652 analysed full breaths), during 10 min rest-breathing with the R-HME, with an F-HME and without HME in a randomized sequence. Additionally, a 3 week prospective clinical feasibility trial was conducted in 17 laryngectomized patients. RESULTS: Both R-HME and F-HME increase endotracheal minimum humidity values (5.8 and 4.7 mgH(2)O/L, respectively; p
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::5f092c4e969cc10b9d8a2e7c3348be30 https://doi.org/10.3109/00016480903382790 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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