Inspired oxygen fraction achieved with a portable ventilator: determinant factors.

Abstract:

INTRODUCTION:Non-invasive positive pressure ventilation (NIPPV) is an effective treatment in respiratory failure. Continuous positive pressure (CPAP) may also be useful in acute hypoxaemic patients. Supplementary oxygen is usually necessary in both systems. However, the inspired oxygen fraction (FiO2) delivered by a NIV portable ventilator is unknown. The main objectives of this study were to establish the maximal FiO2 that could be achieved by these devices and to analyse the FiO2 determinant factors. METHOD:Ten healthy volunteers were evaluated using a BiPAP ST30 ventilator (Respironics, USA) with a single-limb circuit, expiratory port and nasal mask (Respironics, USA). Oxygen (15 L/min) was administered at two connection points (proximal and distal). Each volunteer carried out a NIPPV (inspiratory pressure 20 cmH2O [1.95 kPa]-expiratory pressure 8 cmH2O [0.78 kPa]) and a CPAP (10 cmH2O [0.981 kPa]) session. FiO2 was analysed by a probe located in the mask. Minute volume (MV) was measured using a pneumotachograph. RESULTS:Maximal FiO2 was obtained with CPAP and distal oxygen connection point (67.39 +/- 15.39%). NIPPV achieved higher MV than CPAP. FiO2 was inversely correlated with MV. CONCLUSIONS:FiO2 obtained while using a NIPPV portable ventilator depends on the ventilatory assistant mode, the oxygen connection point and the MV reached.

journal_name

Respir Med

journal_title

Respiratory medicine

authors

Samolski D,Antón A,Güell R,Sanz F,Giner J,Casan P

doi

10.1016/j.rmed.2005.12.005

subject

Has Abstract

pub_date

2006-09-01 00:00:00

pages

1608-13

issue

9

eissn

0954-6111

issn

1532-3064

pii

S0954-6111(05)00528-7

journal_volume

100

pub_type

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