Humidification of inspired gases in mechanical ventilation in children [Abstract in English]

Detalhes bibliográficos
Autor(a) principal: Gatiboni, Silvia
Data de Publicação: 2008
Outros Autores: Piva, Jefferson Pedro, Garcia, Pedro Celiny Ramos
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Scientia Medica (Porto Alegre. Online)
Texto Completo: https://revistaseletronicas.pucrs.br/scientiamedica/article/view/2314
Resumo: Aims: To present the more utilized types of humidifiers in mechanical ventilation circuits, mainly in pediatric patients, and to analyze their advantages and disadvantages. Source of data: Review of the scientific literature through a PubMed/Medline search, emphasizing the words humidification, mechanical ventilation, children, heated humidifiers and heat and moisture exchangers. Also included were book chapters about the subject. Summary of the findings: During mechanical ventilation, humidification and warming of inspired gases are required to prevent the effects of cool and dry gases on the tracheobronquial epithelium. The most used devices are heated humidifiers and heat and moisture exchangers. Conclusions: There are no consensus about the better device to humidification and warming of gases, mainly in pediatrics, but we observed the trend to use the heat and moisture exchangers, because of simplicity and low expense. New research is needed to optimize the heat and moisture exchangers, reducing the resistance and dead-space and increasing their efficacy. KEY WORDS: RESPIRATION, ARTIFICIAL; VENTILATORS, MECHANICAL; CHILD; HUMIDITY; REWARMING; HEAT TRANSFERENCE.
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spelling Humidification of inspired gases in mechanical ventilation in children [Abstract in English]Umidificação dos gases inspirados na ventilação mecânica em criançasUmidificaçãoventilação mecânicaPediatriaAims: To present the more utilized types of humidifiers in mechanical ventilation circuits, mainly in pediatric patients, and to analyze their advantages and disadvantages. Source of data: Review of the scientific literature through a PubMed/Medline search, emphasizing the words humidification, mechanical ventilation, children, heated humidifiers and heat and moisture exchangers. Also included were book chapters about the subject. Summary of the findings: During mechanical ventilation, humidification and warming of inspired gases are required to prevent the effects of cool and dry gases on the tracheobronquial epithelium. The most used devices are heated humidifiers and heat and moisture exchangers. Conclusions: There are no consensus about the better device to humidification and warming of gases, mainly in pediatrics, but we observed the trend to use the heat and moisture exchangers, because of simplicity and low expense. New research is needed to optimize the heat and moisture exchangers, reducing the resistance and dead-space and increasing their efficacy. KEY WORDS: RESPIRATION, ARTIFICIAL; VENTILATORS, MECHANICAL; CHILD; HUMIDITY; REWARMING; HEAT TRANSFERENCE.Objetivos: apresentar os tipos de umidificadores mais utilizados em circuitos de ventilação mecânica, principalmente em pacientes pediátricos, e analisar suas vantagens e desvantagens. Fonte de dados: revisão da literatura científica através de artigos pertinentes incluídos na base de dados PubMed/Medline, enfatizando as palavras umidificação, ventilação mecânica, crianças, umidificadores aquecidos e trocadores de calor e umidade. Também foram incluídos capítulos de livros sobre o assunto. Síntese dos dados: durante a ventilação mecânica, a umidificação e o aquecimento dos gases inspirados são necessários para prevenir os efeitos do frio e dos gases secos no epitélio traqueobrônquico. Os dispositivos mais utilizados são os Umidificadores Aquecidos e os Filtros Trocadores de Calor e Umidade. Conclusões: não existe consenso quanto ao melhor dispositivo para aquecimento e umidificação dos gases inspirados, principalmente em pediatria, porém observamos a tendência ao uso de filtros trocadores de calor e umidade, pela facilidade e menor custo. Novas pesquisas são necessárias para otimizar os filtros trocadores de calor e umidade, diminuindo a resistência e o espaço morto e aumentando a eficácia dos mesmos. DESCRITORES: RESPIRAÇÃO ARTIFICIAL; RESPIRADORES MECÂNICOS; CRIANÇA; UMIDADE; REAQUECIMENTO; TRANSFERÊNCIA DE CALOR.Editora da PUCRS - ediPUCRS2008-03-29info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionMedicinaapplication/pdfapplication/pdfhttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/2314Scientia Medica; Vol. 18 No. 2 (2008); 92-97Scientia Medica; v. 18 n. 2 (2008); 92-971980-61081806-5562reponame:Scientia Medica (Porto Alegre. Online)instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)instacron:PUC_RSporenghttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/2314/3011https://revistaseletronicas.pucrs.br/scientiamedica/article/view/2314/7843Gatiboni, SilviaPiva, Jefferson PedroGarcia, Pedro Celiny Ramosinfo:eu-repo/semantics/openAccess2013-07-17T13:18:56Zoai:ojs.revistaseletronicas.pucrs.br:article/2314Revistahttps://revistaseletronicas.pucrs.br/scientiamedica/PUBhttps://revistaseletronicas.pucrs.br/scientiamedica/oaiscientiamedica@pucrs.br || editora.periodicos@pucrs.br1980-61081806-5562opendoar:2013-07-17T13:18:56Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)false
dc.title.none.fl_str_mv Humidification of inspired gases in mechanical ventilation in children [Abstract in English]
Umidificação dos gases inspirados na ventilação mecânica em crianças
title Humidification of inspired gases in mechanical ventilation in children [Abstract in English]
spellingShingle Humidification of inspired gases in mechanical ventilation in children [Abstract in English]
Gatiboni, Silvia
Umidificação
ventilação mecânica
Pediatria
title_short Humidification of inspired gases in mechanical ventilation in children [Abstract in English]
title_full Humidification of inspired gases in mechanical ventilation in children [Abstract in English]
title_fullStr Humidification of inspired gases in mechanical ventilation in children [Abstract in English]
title_full_unstemmed Humidification of inspired gases in mechanical ventilation in children [Abstract in English]
title_sort Humidification of inspired gases in mechanical ventilation in children [Abstract in English]
author Gatiboni, Silvia
author_facet Gatiboni, Silvia
Piva, Jefferson Pedro
Garcia, Pedro Celiny Ramos
author_role author
author2 Piva, Jefferson Pedro
Garcia, Pedro Celiny Ramos
author2_role author
author
dc.contributor.author.fl_str_mv Gatiboni, Silvia
Piva, Jefferson Pedro
Garcia, Pedro Celiny Ramos
dc.subject.por.fl_str_mv Umidificação
ventilação mecânica
Pediatria
topic Umidificação
ventilação mecânica
Pediatria
description Aims: To present the more utilized types of humidifiers in mechanical ventilation circuits, mainly in pediatric patients, and to analyze their advantages and disadvantages. Source of data: Review of the scientific literature through a PubMed/Medline search, emphasizing the words humidification, mechanical ventilation, children, heated humidifiers and heat and moisture exchangers. Also included were book chapters about the subject. Summary of the findings: During mechanical ventilation, humidification and warming of inspired gases are required to prevent the effects of cool and dry gases on the tracheobronquial epithelium. The most used devices are heated humidifiers and heat and moisture exchangers. Conclusions: There are no consensus about the better device to humidification and warming of gases, mainly in pediatrics, but we observed the trend to use the heat and moisture exchangers, because of simplicity and low expense. New research is needed to optimize the heat and moisture exchangers, reducing the resistance and dead-space and increasing their efficacy. KEY WORDS: RESPIRATION, ARTIFICIAL; VENTILATORS, MECHANICAL; CHILD; HUMIDITY; REWARMING; HEAT TRANSFERENCE.
publishDate 2008
dc.date.none.fl_str_mv 2008-03-29
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Medicina
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://revistaseletronicas.pucrs.br/scientiamedica/article/view/2314
url https://revistaseletronicas.pucrs.br/scientiamedica/article/view/2314
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://revistaseletronicas.pucrs.br/scientiamedica/article/view/2314/3011
https://revistaseletronicas.pucrs.br/scientiamedica/article/view/2314/7843
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Editora da PUCRS - ediPUCRS
publisher.none.fl_str_mv Editora da PUCRS - ediPUCRS
dc.source.none.fl_str_mv Scientia Medica; Vol. 18 No. 2 (2008); 92-97
Scientia Medica; v. 18 n. 2 (2008); 92-97
1980-6108
1806-5562
reponame:Scientia Medica (Porto Alegre. Online)
instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
instacron:PUC_RS
instname_str Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
instacron_str PUC_RS
institution PUC_RS
reponame_str Scientia Medica (Porto Alegre. Online)
collection Scientia Medica (Porto Alegre. Online)
repository.name.fl_str_mv Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
repository.mail.fl_str_mv scientiamedica@pucrs.br || editora.periodicos@pucrs.br
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