Abstract
Dry gas inhalation during application of noninvasive ventilation (NIV) can provoke some detrimental effects on airway mucosa. Humidification during NIV can prevent these effects and might improve tolerance and adherence. Although heated humidifiers are recommended over heat-and-moisture exchangers (HMEs) by current guidelines, the use of HMEs with low dead space seems to be acceptable.
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- AH:
-
Absolute humidity
- ARF:
-
Acute respiratory failure
- CPAP:
-
Continuous positive airway pressure
- FiO2 :
-
Fractional inspired oxygen
- HH:
-
Heated humidifiers
- HME:
-
Heat-and-moisture exchangers
- IMV:
-
Invasive mechanical ventilation
- IPAP:
-
Inspiratory positive airway pressure
- NAWR:
-
Nasal airway resistance
- NIV:
-
Noninvasive ventilation
- SRBD:
-
Sleep-related breathing disorders
- WOB:
-
Work of breathing
References
Restrepo RD, Walsh BK, AARC Practice Guideline. Humidification during invasive and noninvasive mechanical ventilation: 2012. Respir Care. 2012;57(5):782–8.
Schnell D, Timsit JF, Darmon M, et al. Noninvasive mechanical ventilation in acute respiratory failure: trends in use and outcomes. Intensive Care Med. 2014;40(4):582–91.
Branson RD, Gentile MA. Is humidification always necessary during noninvasive ventilation in the hospital? Respir Care. 2010;55(2):209–16.
Kelly M, Gillies D, Todd DA, et al. Heated humidification versus heat and moisture exchangers for ventilated adults and children. Cochrane Database Syst Rev. 2010;4:CD004711.
Esquinas AM, Scala R, Soroksky A, et al. Clinical review: humidifiers during non-invasive ventilation - key topics and practical implications. Crit Care. 2012;16:203–9.
Ueta K, Tomita T, Uchiyama A, et al. Influence of humidification on comfort during noninvasive ventilation with a helmet. Respir Care. 2013;58(5):798–804.
Lellouche F, Maggiore SM, Lyazidi A, et al. Water content of delivered gases during non-invasive ventilation in healthy subjects. Intensive Care Med. 2009;35:987–95.
Nava S, Cirio S, Fanfulla F, et al. Comparison of two humidification systems for long-term noninvasive mechanical ventilation. Eur Respir J. 2008;32:460–4.
Chanques G, Jaber S, Delay JM, et al. Phoning study about postoperative practice and application of noninvasive ventilation. Ann Fr Anesth Reanim. 2003;22:879–85.
Crimi C, Noto A, Princi P, et al. A European survey of noninvasive ventilation practices. Eur Respir J. 2010;36:362–9.
Kushida CA, Littner MR, Hirschkowitz M, et al. American Academy of Sleep Medicine: practice parameters for the use of continuous and bilevel positive airway pressure devices to treat adult patients with sleep-related breathing disorders. Sleep. 2006;29:375–80.
Lellouche F, Maggiore SM, Deye N, et al. Effect of humidification device on the work of breathing during noninvasive ventilation. Intensive Care Med. 2002;28:1582–9.
Boyer A, Vargas F, Hilbert G, et al. Small dead space heat and moisture exchangers do not impede gas exchange during noninvasive ventilation: a comparison with heated humidifier. Intensive Care Med. 2010;36:1348–54.
Lelouche F, L’Her E, Abroug F, et al. Impact of humidification device on intubation rate during noninvasive ventilation with ICU ventilators: results of a multicenter randomized controlled trial. Intensive Care Med. 2014;40:211–9.
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© 2016 Springer International Publishing Switzerland
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Ozsancak, A.U., Esquinas, A.M. (2016). Humidification for Noninvasive Ventilation: Key Technical Determinants and Clinical Evidence. In: Esquinas, A. (eds) Noninvasive Mechanical Ventilation. Springer, Cham. https://doi.org/10.1007/978-3-319-21653-9_20
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DOI: https://doi.org/10.1007/978-3-319-21653-9_20
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