Ventilating two patients with one ventilator:technical setup and laboratory testing
| Autor: | Frans H.C. de Jongh, Jonne Doorduin, Rudolf M. Verdaasdonk, Eline Oppersma, Heder J de Vries, Leo M. A. Heunks, Rob S P Warnaar |
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| Přispěvatelé: | Intensive care medicine, ACS - Pulmonary hypertension & thrombosis, Radiology and nuclear medicine, Engineering Fluid Dynamics, Cardiovascular and Respiratory Physiology, TechMed Centre, Health Technology Implementation |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Pulmonary and Respiratory Medicine
2019-20 coronavirus outbreak Coronavirus disease 2019 (COVID-19) business.industry Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Original Research Letters lcsh:R Other Research Radboud Institute for Health Sciences [Radboudumc 0] lcsh:Medicine Laboratory testing Pendelluft 03 medical and health sciences 0302 clinical medicine 030228 respiratory system Medicine 030212 general & internal medicine business Tidal volume Simulation |
| Zdroj: | de Jongh, F H C, de Vries, H J, Warnaar, R S P, Oppersma, E, Verdaasdonk, R, Heunks, L M A & Doorduin, J 2020, ' Ventilating two patients with one ventilator : technical setup and laboratory testing ', BMJ Open, vol. 6, no. 2 . https://doi.org/10.1183/23120541.00256-2020 ERJ Open Research, 6, 2 BMJ Open, 6(2). BMJ Publishing Group ERJ Open Research, Vol 6, Iss 2 (2020) ERJ Open Research, 6 ERJ Open Research article-version (VoR) Version of Record ERJ Open Research, 6(2):00256-2020. European Respiratory Society |
| ISSN: | 2312-0541 |
| Popis: | During health crises, including terrorist attacks or pandemics like coronavirus disease 2019 (COVID-19), the number of mechanical ventilators might fall short of the number of patients with severe respiratory failure [1–3]. A possible emergency solution is to ventilate multiple patients with one ventilator. Sharing ventilators was applied anecdotally during the 2017 Las Vegas (USA) shootings and has raised interest in lay media with the current COVID-19 pandemic [4]. However, ventilating two patients with one ventilator can be dangerous when incorrectly applied. Different setups have been published online, but none have reported any technical safety testing. With a modified circuit, it is feasible to ventilate two patients with one ventilator over a relevant range of compliances. Adding inspiratory resistance allows individual titration of tidal volume, and incorporating one-way valves prevents pendelluft. https://bit.ly/3ex8SYP |
| Databáze: | OpenAIRE |
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