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Maximizing Patient Outcomes with Advanced Humidification in Ventilation

One of the major systems in the human body that is responsible for the control of gaseous exchange is the respiratory system. Sometimes, this breathing pathway may be damaged due to certain conditions resulting in improper ventilation mechanisms. However, with the invention of humidifier ventilation, most of these respiratory inconveniences and difficulties can be avoided. 

Initially, the human airway performs the function of an additional provision of water vapor (moisture) to inspire air which enhances pulmonary activities. This process of additional moisture known as a humidification mechanism is often provided by what is called a ventilator humidifier in a mechanical ventilator.  

However, there have been a series of improvements in clinical technology providing an adequate medical system that maximizes patient outcomes. This article will provide you with comprehensive details about humidification, its key roles,  strategic implementation, and success stories in ICU settings. 

Ventilator Humidifier Photo 1

What’s Respiratory Humidification?

The process of adding moisture, heat, and filtrating inhaled air in mechanical ventilators to aid convenient breathing similar to normal is known as Respiratory humidification. It is an integral process that provides lung protection, comfortable respiration, and above all keeps the airway safe. 

The Role of Humidification in Respiratory Care

Generally speaking, patients in the ICU setting often benefit from the great impact of humidification, as it provides them with so much improved respiratory care.  Some Integral roles performed by humidification are: 

1. Upper Airway protection:

The addition of saturated water molecules makes inspired air filled with moisture that helps in the protection of the mucosa lining the nostrils and pharynx (airway).

2. Enhance Gaseous Exchange:

With the help of ventilator humidifiers, proper diffusion, and exchange of inspired air are carried out within the lungs and with the environment. 

3. Patient Comfort:

One of the most integral roles of humidifier ventilation is in its comforting mechanism aided by providing fresh breath without tampering with the airway or causing havoc to the lungs. In addition to this comfort, it provides perfect tolerance and compliance. 

4. Regulate Temperature:

The humidification process provides a regulated inspired air preventing the cause of any thermal-related problems e.g. hypothermia. It helps in the regulation of the internal body temperature which aids in proper medical treatment. 

5. Prevent Complications:

The presence of a ventilator humidifier prevents patients from developing various respiratory problems or damages. It protects them from conditions like bronchospasm, infections,  mucous plugging, and lots more due to the humid passage through the lungs. 

6. Decrease Airway Resistance:

Ventilation humidifier also plays a significant role in preserving the airway’s natural humidity balance and also reduces airway resistance. 

7. Long-term Ventilation Assistance:

In most cases that require prolonged respiratory care, an advanced positive pressure mechanism, incorporated with humidifier ventilation is often utilized to preserve the system and solve the difficulties. 

Ventilator Humidifier Photo 2

Case Studies: Success Stories in ICU Settings 

The use of humidifier ventilators in ICU settings has brought great advancement in the healthcare sector by producing increased success stories and patient outcomes. Below are some ventilator’s impact success stories: 

Case Study 1: The Impact of Humidifier Ventilation in John’s COPD Maintenance

A forty-year-old man, called John, experiences a miraculous treatment that helps preserve his severe breathing condition. His amazing recovery was achieved due to the impact of humidifier ventilation during his brief stay in the ICU setting.    

He is a refinery worker with a medical background of 3 years of COPD. He was brought to the healthcare center with various likely symptoms like persistent wheezing, shortness of breath, and chest pain after a long morning exercise he had that morning.

After a proper diagnosis, a bullectomy surgery was considered a perfect solution by the medical team to preserve John’s life. A strategic plan was structured by the medical team to perform the surgery.

The surgery was a success following the perfect removal of giant bullae (air pockets) in the left lung. After the surgical procedure, the concurrent chest pain was reduced, and was entirely placed on the non-invasive humidifier ventilator.

John’s surgery was a success, and he was referred to the ICU setting as he was permanently placed on a positive pressure ventilation system coupled with a ventilator humidifier.

In conclusion, the humidifier ventilation method was administered to enhance his respiratory function.  He was discharged and further assisted via telemedicine care.

BioAqua Ventilator Compatible Humidifier

Case Study 2: Angela’s tale of recovery from Acute Asthma with a Ventilator Humidifier in ICU 

Angela, a young girl, was brought into an accident and emergency unit.  For the sake of saving her life, an asthmatic-relieving drug was administered and then placed on a non-invasive ventilator humidifier.

Her medical symptoms and background show that she is having difficulty breathing, wheezing, and shortness of breath, and has been managing the condition since 8 years old.

Quickly, she was first stabilized and referred to the ICU, where she was placed on an NIV ventilator humidifier. She was constantly monitored throughout the process.

She was assigned some medical specialists, like respiratory therapists and pediatricians, who work tirelessly to achieve their medical goals.

Due to her age, she was carefully monitored and assisted by several nurses. After about three to five days in the intensive care unit, her respiratory system was observed to improve, and she was also breathing perfectly well. She was discharged from the ICU setting in good condition.

Best Practice for Implementing Humidification 

The use of a ventilator humidifier requires some procedures for the enhancement of general healthcare. To implement humidification, the following procedures are to be practiced: 

  • Determine Perfect Humidification Method: The selection of a perfect humidification method, either an active-passive humidifier or a heated humidifier, is vital for medical well-being. 
  • Monitor Temperature and Humidity: Constant checks should be taken on the appropriate level of humidity and temperature. This helps lessen inflammation and airway dryness and should be maintained according to patient demand. 
  • Sterile Water Utilization: Sterile Water is the best that can be used for airway humidification that won’t expose the patient to pollution or external factors. 
  • Routine Cleaning and Maintenance: To avoid microbial development and preserve ventilator maximum efficiency, rigorous adherence to proper upkeep and cleaning systems must be executed for various humidification components. 
  • Use of Heat and Moisture Exchanger Filters: These filters are a good component that helps to preserve humidity and also reduce infection tendency. The proper use of this filter will grant the body defense to external bodies. 
  • Sensor Check: When checking the degree of humidity consistently, the humidifier ventilator may automatically change settings with the help of an in-built sensor. 

In summary

The role of humidification in ventilators exceeds the provision of air moisture. It is a method that has been seen to provide comfort and increase patient outcomes. A ventilator humidifier is an important factor that protects the lungs and provides an airway function for ventilators. It functions similarly to airways in normal respiration by providing satisfying long-term assistance that also prevents infection. 

You can be a partaker of a respiratory system like no other with the aid of an advanced humidification system. This alternative breathing method is a type that brings more comfort, satisfaction and improved pulmonary treatment. However, you can also be a participant in this transformative respiratory care by taking a step today with a humidified ventilation system.

References

mechanical-ventilation-and-ICU-ventilators

Mechanical Ventilation and ICU Ventilators: Learn All Details

What is Ventilation? 

Ventilation is the process of movement of air from the atmosphere through the airways to the terminal respiratory gas exchange units by the effort of the respiratory muscles or a mechanical ventilator if the patient is being ventilated. 

What is Respiration? 

Oxygen is essential for life. It is required by each human cell for its survival. It is abundantly present in the atmosphere and maintains a remarkably constant concentration of 20.9% in ambient air. Oxygen is taken up by the lungs through the act of inspiration and transported to the cells via the blood. At the cellular level, oxygen is utilized for the production of energy. In this process, carbon dioxide is released and transported back via the blood to the lungs from where it is expired out into the atmosphere. The act of the exchange of oxygen and carbon dioxide is called respiration. 

What is the Difference Between Ventilator and Respirator? 

A ventilator is a machine, a system using mechanical power and having several parts, each with a definite function and together performing a particular task. The task here is to provide all or part of the body’s work that is called breathing or ventilation. Respirator is an apparatus that people worn it over their mouth and nose or the entire face to prevent the inhalation of dangerous substances such as: dust, smoke, etc

Indications for Ventilation

⦁ Patients who require ventilatory support often develop a common pattern of physiological deterioration, including:
⦁ changes in respiratory rate
⦁ asynchronous respiratory pattern
⦁ changes in mental status and changes in level of consciousness
⦁ frequent oxygen desaturation despite increasing oxygen concentration
⦁ hypercapnia and respiratory acidosis
⦁ circulatory problems, including tachypnea, tachycardia, hypertension, or hypotension.(3)

Non-invasive Ventilation (NIV)

NIV refers to the provision of respiratory support without direct tracheal intubation. As such, it aims to avoid some of the complications inherent with invasive ventilation, such as the need for sedation with risks of hemodynamic instability and subsequent risk of delirium, nosocomial infection, etc.(2)
Recommendations for the use of non-invasive ventilation(4)
⦁ COPD exacerbations
⦁ Facilitation of weaning/extubation in patients with COPD
⦁ Cardiogenic pulmonary edema
⦁ Immunosuppressed patients
⦁ Do-not-intubate status
⦁ End-stage patients as palliative measure
⦁ Extubation failure (COPD or congestive heart failure) (prevention)
⦁ Community-acquired pneumonia in COPD
⦁ Postoperative respiratory failure (prevention and treatment)
⦁ Prevention of acute respiratory failure in asthma

Goals of Mechanical Ventilation

One of the most important treads of life support in the emergency department is Mechanical ventilation (MV). It provides time for recovery until the patient’s physiological balance is restored. This is why MV alone is not a unique and specific treatment for a particular disease; however, it has two general and main purposes: to support the injured lung and to protect the healthy lung.

Specific Goals of Mechanical Ventilation

⦁ Reversal of Apnea
⦁ Reversal of Respiratory Distress
⦁ Reversal of Severe Hypoxemia
⦁ Reversal of Severe Hypercapnia
⦁ Goals of Mechanical Ventilation in Postoperative
⦁ Respiratory Failure and Trauma
⦁ Goals of Mechanical Ventilation in Shock
One of the specific goals of MV is to promote the optimization of arterial blood gas levels and acid-base balance by providing oxygen and eliminating carbon dioxide (ventilation).(1) For patients with chronic diseases MV can reduce the work of breathing by taking effort from respiratory muscles and maintaining long-term respiratory support.
The ventilator is not a magical therapy that makes patients better but simply a supportive therapy used until more definitive therapies have time to work.

Apnea

Patients with apnea, such as those who have suffered catastrophic central nervous system (CNS) damage, need the immediate institution of mechanical ventilation.(2)

Non-invasive ventilation

Indications (3)

⦁ Moderate to severe dyspnoea
⦁ Tachypnoea (>25–30 breaths/minute)
⦁ Signs of increased work of breathing (abdominal paradox; accessory muscle use)
⦁ Fatigue
⦁ Acute-on-chronic respiratory failure: pH <7.35; pCO2 >6
⦁ Hypoxaemia (use with caution): paO2/FiO2 <27 Kpa

Contraindications (3)

⦁ Facial burns/trauma/recent facial upper airway surgery
⦁ Vomiting
⦁ Upper gastrointestinal surgery
⦁ Copious respiratory secretions
⦁ Severe hypoxemia
⦁ Hemodynamically instability
⦁ Severe co-morbidities
⦁ Confusion/agitation
⦁ Low Glasgow coma score
⦁ Unable to protect the airway
⦁ Bowel obstruction
⦁ Respiratory arrest

NIV today consists almost exclusively of the delivery of positive pressure ventilation via an external interface. There are six broad types of interfaces available;

⦁ total face masks (enclose mouth, nose, eyes)
⦁ full-face masks (enclose mouth and nose)
⦁ nasal mask (covers nose but not mouth)
⦁ mouthpieces (placed between lips and held in place by lip seal)
⦁ nasal pillows or plugs (inserted into nostrils)
⦁ helmet (covers the whole head/all or part of the neck – no contact with face).(3)

Invasive Ventilation

Invasive mechanical ventilation requires access to the trachea, most commonly via an endotracheal tube, and represents the commonest reason for admission to the ICU.(5)

Large multinational surveys confirm the common indications for invasive ventilation to be:
⦁ coma 16%
⦁ COPD 13%
⦁ ARDS 11%
⦁ heart failure 11%
⦁ pneumonia 11%
⦁ sepsis 11%
⦁ trauma 11%
⦁ postoperative complications 11%
⦁ neuromuscular disorders 5%.
⦁ NIV contraindications.(5)

Let’s Meet with Biyovent ICU Type Mechanical Ventilator

Biyovent ICU Type Mechanical Ventilator

Biyovent ICU Ventilator makes a difference in the ventilation process with its unique specifications. Biyovent has been carefully thought out with every detail of the ventilators and developed with a holistic approach. Prepared for mass production in cooperation with Arçelik, Baykar, and Aselsan.

What are some specific features of Biyovent?

⦁ Invasive and Non-invasive Ventilation
⦁ Integrated Nebulizer
⦁ High Flow Oxygen Therapy
⦁ Suitable for Pediatric, Adult and Newborn (Optional) Patients
⦁ Smart Ventilation Modes

Learn more details about Biyovent ICU Ventilator

Get in contact with the Biosys Sales Team

References


1- Frank Lodeserto MD, “Simplifying Mechanical Ventilation – Part I: Types of Breaths”, REBEL EM blog, March 8, 2018. Available at: https://rebelem.com/simplifying-mechanical-ventilation-part/.
2- Tobin M.J. 3rd edn. McGraw-Hill Education; 2012. Principles and practice of mechanical ventilation.
3- Popat B, Jones AT. Invasive and non-invasive mechanical ventilation. Medicine (Abingdon). 2012;40(6):298-304. doi:10.1016/j.mpmed.2012.03.010
4- Hess D.R. The evidence for noninvasive positive-pressure ventilation in the care of patients in acute respiratory failure: a systematic review of the literature. Respir Care. 2004;49:810–829.
5- Esteban A., Ferguson N.D., Meade M.O. Evolution of mechanical ventilation in response to clinical research. Am J Respir Crit Care Med. 2008;177:170–177