Bench evaluation of commercially available and newly developed interfaces for mouthpiece ventilation.
Détails
ID Serval
serval:BIB_9E6889021D26
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Institution
Titre
Bench evaluation of commercially available and newly developed interfaces for mouthpiece ventilation.
Périodique
The clinical respiratory journal
ISSN
1752-699X (Electronic)
ISSN-L
1752-6981
Statut éditorial
Publié
Date de publication
2017
Peer-reviewed
Oui
Pages
1-5
Langue
anglais
Notes
Publication types: Journal Article
Résumé
Mouthpiece ventilation represents a valuable treatment for patients needing daytime non-invasive ventilation. This modality is however underused, in part because of limitations in the available equipment.
To develop a new flexible and moldable mouthpiece, aiming to address some of the issues of the currently available interfaces.
We compared two commercially available and the newly developed mouthpieces in a bench test using four life-support home ventilators and three settings per ventilator.
The three interfaces showed marked differences in their resistive characteristics. In the volume-controlled setting (VC-CMV) with 500 mL tidal volume (VT ), the delivered VT , ranged between 459 ± 7 mL (-8%) and 501 ± 4 mL (+0.2%), according to the used ventilator. In the VC-CMV setting with VT 1000 mL, one of the ventilators did not assure the set VT with the new mouthpiece, because of the high-pressure limitation. In the pressure-controlled setting (PC-CMV at 20 cmH2 O), the effective pressure differed between the tested interfaces according to their resistance, resulting in a decrease in the delivered VT .
They found measurable differences in the ventilation's performances comparing the interfaces for mouthpiece ventilation, which seem to have a minor clinical relevance in the most settings, but should be systematically checked. They validated in-vitro the newly developed mouthpiece with respect to the ventilation performances; a clinical study is needed to investigate the potential advantages we expect from the new mouthpiece.
To develop a new flexible and moldable mouthpiece, aiming to address some of the issues of the currently available interfaces.
We compared two commercially available and the newly developed mouthpieces in a bench test using four life-support home ventilators and three settings per ventilator.
The three interfaces showed marked differences in their resistive characteristics. In the volume-controlled setting (VC-CMV) with 500 mL tidal volume (VT ), the delivered VT , ranged between 459 ± 7 mL (-8%) and 501 ± 4 mL (+0.2%), according to the used ventilator. In the VC-CMV setting with VT 1000 mL, one of the ventilators did not assure the set VT with the new mouthpiece, because of the high-pressure limitation. In the pressure-controlled setting (PC-CMV at 20 cmH2 O), the effective pressure differed between the tested interfaces according to their resistance, resulting in a decrease in the delivered VT .
They found measurable differences in the ventilation's performances comparing the interfaces for mouthpiece ventilation, which seem to have a minor clinical relevance in the most settings, but should be systematically checked. They validated in-vitro the newly developed mouthpiece with respect to the ventilation performances; a clinical study is needed to investigate the potential advantages we expect from the new mouthpiece.
Mots-clé
bench evaluation, home ventilators, interfaces, mouthpiece ventilation, neuromuscular disease, non-invasive ventilation
Pubmed
Création de la notice
25/08/2017 11:19
Dernière modification de la notice
20/08/2019 16:04