کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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3008085 | 1181445 | 2013 | 5 صفحه PDF | دانلود رایگان |

AimDry, cold gas is used for neonatal resuscitation, contributing to low admission temperatures and exacerbation of lung injury. Recently, a method of heating and humidifying neonatal resuscitation gases has become available. We aimed to determine the optimal flow rate, humidifier chamber and water volume needed to reach 36 °C, and near 100% humidity at the patient T-piece in the shortest possible time.MethodA T-piece resuscitator was connected via a heated patient circuit to a humidifier chamber. Trials were performed using different gas flow rates (6, 8 and 10 L/min), humidification chambers (MR290, MR225) and water volumes (30 g, 108 g). Temperature was recorded at the humidifier chamber (T1), distal temperature probe (T2) and the T-piece (T3) over a 20 min period at 30 s intervals. A test lung was added during one trial.ResultsNo significant difference existed between flow rates 8 L/min and 10 L/min (p = 0.091, p = 0.631). T3 reached 36 °C and remained stable at 360 s (8 L/min, MR225, 30 mL); near 100% RH was reached at 107 s (10 L/min, MR225, 30 mL). T3 and humidity reached and remained stable at 480 s (10 L/min, MR290, 30 mL). Target temperature and humidity was not reached with the test lung.ConclusionsIt is possible to deliver heated, humidified gases in neonatal resuscitation in a clinically acceptable timeframe. We suggest the set-up to achieve optimal temperature and humidity for resuscitation purposes is 10 L/min of gas flow, a MR290 humidification chamber, and 30 mL of water.
Journal: Resuscitation - Volume 84, Issue 10, October 2013, Pages 1428–1432