The design and application of ventilator humidifier with infusing fluid automatically_Chinese Journal of Respiratory and Critical Care Medicine

Authors：

YANG Lin ^1,2 , YAO Li ^1,2 ,  ZHANG Zhigang ^1,2 , ZHAGN Caiyun ¹ , JIANG Youfei ¹ , YUE Weigang ¹ , FENG Xin ¹ , GAO Huiya ^1,2 , LI Na ^1,2 , HAN Lulu ^1,2 , CHEN Ke ^1,2 , WANG Shengjun ^1,2 , SHEN Xiping ³

1. The First Hospital of Lanzhou University, Lanzhou, Gansu 730000, P. R. China;
2. School of Nursing, Lanzhou University, Lanzhou, Gansu 730000, P. R. China;
3. School of Public Health, Lanzhou University, Lanzhou, Gansu 730000, P. R. China;

Corresponding author：

ZHANG Zhigang, Email: zzg3444@163.com

Keywords：

Ventilator humidifier; Humidification; Mechanical ventilation

DOI：

10.7507/1671-6205.201907005

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Objective To design a ventilator humidifier that can ensure water level and infuse fluid automatically, and evaluate its application effect in patients with mechanical ventilation.Methods Thirty-eight patients who received mechanical ventilation in ICU from March to June in 2019 were included. According to the order of admission, they were divided into a study group with 18 patients and a control group with 20 patients. Different ventilator humidifiers were used. The study group used self-designed ventilator humidifier, and the control group used the MR370 humidifier. The cases of sputum viscosity with Ⅲ degree after 48 hours’ mechanical ventilation, the times of fluid infusion and the total amount of fluid infusion were compared. The times of pouring out condensate water and the total amount of pouring out condensate water in 24 hours were also compared.Results The times of infusing liquid in the study group in 24 hours was less than that in the control group (3.3±0.5 vs. 11.2±1.7, P<0.01), but the other indicators were not statistically significant between the two groups (all P>0.05).Conclusions The self-designed ventilator humidifier can be used for patients with mechanical ventilation, which can keep the water level at the water line all the time and is beneficial to humidification treatment. It can reduce the times of fluid infusion and nurses' workload.

Citation： YANG Lin, YAO Li, ZHANG Zhigang, ZHAGN Caiyun, JIANG Youfei, YUE Weigang, FENG Xin, GAO Huiya, LI Na, HAN Lulu, CHEN Ke, WANG Shengjun, SHEN Xiping. The design and application of ventilator humidifier with infusing fluid automatically. Chinese Journal of Respiratory and Critical Care Medicine, 2020, 19(6): 598-602. doi: 10.7507/1671-6205.201907005 Copy

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2.	Gillies D, Todd DA, Foster JP, et al. Heat and moisture exchangers versus heated humidifiers for mechanically ventilated adults and children. Cochrane Database Syst Rev, 2017, 9: CD004711.
3.	曾定芬, 向明芳, 许仕英, 等. 呼吸机加温加湿器中蒸馏水注入方法的改进. 中华护理杂志, 2007, 42(5): 471.
4.	蓝冰仁, 叶红. 机械加温加湿器与氧气雾化吸入湿化气道在人工气道中效果比较. 中国临床护理, 2019, 11(2): 127-129.
5.	Birk R, Händel A, Wenzel A, et al. Heated air humidification versus cold air nebulization in newly tracheostomized patients. Head Neck, 2017, 39(12): 2481-2487.
6.	王静, 皮红英. 两种不同气道湿化方法对气管切开患者影响的Meta分析. 中华危重病急救医学, 2016, 28(1): 63-69.
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10.	蓝惠兰, 李雪球, 覃铁和, 等. 机械通气患者吸痰前气管内滴注生理盐水湿化的比较研究. 中华护理杂志, 2005, 40(8): 567-569.
11.	程辉, 张宗颖. 呼吸机管路中冷凝水的管理体会. 吉林医学, 2013, 34(13): 2577-2578.
12.	罗春霞, 刘妙秋, 曾丽云, 等. 集束化护理在老年危重患者人工气道管理中的应用. 护理实践与研究, 2017, 14(16): 128-129.
13.	曾碰华, 吴静冰, 郑若菲. 呼吸机湿化器不同加水方法的效果评价与分析. 中国现代药物应用, 2010, 4(15): 239-240.
14.	李秀琼. 呼吸机湿化液不同加入方法与院内感染发生率的相关性研究. 解放军护理杂志, 2006, 23(5): 23-24.
15.	孙晓林, 罗明琴. PDCA 循环在降低 ICU 呼吸机冷凝水倾倒不及时率中的应用. 青海医药杂志, 2018, 48(2): 32-34.
16.	谷红俊, 贾艳红. 呼吸机持续加水与间断加水方法的效果观察. 护理研究, 2011, 25(5): 1165-1166.
17.	李莉, 颜萍, 杨益, 等. 护理人员情绪劳动现状及其影响因素分析. 护理学杂志, 2016, 31(20): 60-62.
18.	陈竞萌, 尤黎明, 郑晶, 等. 医院内科、外科和 ICU 病区护士特征分布以及护理工作环境分析. 中国护理管理, 2012, 12(7): 20-23.
19.	豆春霞, 刘可, 尤黎明, 等. 病房护士人力配置与工作超时相关性研究. 中国护理管理, 2012, 12(5): 23-25.
20.	刘芳, 龚立超, 阮征, 等. 重症脑损伤机械通气患者加温加湿罐水位控制的临床验证效果. 解放军护理杂志, 2017, 34(10): 33-35.
21.	文庭亮, 王琏, 胡波, 等. ICU 不同人工气道湿化器的应用及湿化管理. 长江大学学报, 2013, 10(3): 49-51.
22.	Vargas M, Chiumello D, Sutherasan Y, et al. Heat and moisture exchangers (HMEs) and heated humidifiers (HHs) in adult critically ill patients: a systematic review, meta-analysis and meta-regression of randomized controlled trials. Crit Care, 2017, 21(1): 123.
23.	Haziot N, Ibrahim M, Zhu K, et al. Impact of leaks and ventilation parameters on the efficacy of humidifiers during home ventilation for tracheostomized patients: a bench study. BMC Pulm Med, 2019, 19(1): 43.

1. Esendağlı D, Sarınç Ulaşlı S, Esquinas A. Humidification therapy: long-term effects in COPD and OSAS patients. Tuberk Toraks, 2018, 66(1): 57-63.
2. Gillies D, Todd DA, Foster JP, et al. Heat and moisture exchangers versus heated humidifiers for mechanically ventilated adults and children. Cochrane Database Syst Rev, 2017, 9: CD004711.
3. 曾定芬, 向明芳, 许仕英, 等. 呼吸机加温加湿器中蒸馏水注入方法的改进. 中华护理杂志, 2007, 42(5): 471.
4. 蓝冰仁, 叶红. 机械加温加湿器与氧气雾化吸入湿化气道在人工气道中效果比较. 中国临床护理, 2019, 11(2): 127-129.
5. Birk R, Händel A, Wenzel A, et al. Heated air humidification versus cold air nebulization in newly tracheostomized patients. Head Neck, 2017, 39(12): 2481-2487.
6. 王静, 皮红英. 两种不同气道湿化方法对气管切开患者影响的Meta分析. 中华危重病急救医学, 2016, 28(1): 63-69.
7. 中华医学会重症医学分会. 机械通气临床应用指南(2006). 中国危重病急救医学, 2007, 19(2): 65-72.
8. 蓝惠兰, 邓旭萍, 陈瀚熙, 等. 机械通气呼吸湿化器湿化研究进展. 护理学杂志, 2013, 28(13): 94-97.
9. Lellouche F, Taillé S, Maggiore SM, et al. Influence of ambient and ventilator output temperatures on performance of heated-wire humidifiers. Am J Respir Crit Care Med, 2004, 170(10): 1073-1079.
10. 蓝惠兰, 李雪球, 覃铁和, 等. 机械通气患者吸痰前气管内滴注生理盐水湿化的比较研究. 中华护理杂志, 2005, 40(8): 567-569.
11. 程辉, 张宗颖. 呼吸机管路中冷凝水的管理体会. 吉林医学, 2013, 34(13): 2577-2578.
12. 罗春霞, 刘妙秋, 曾丽云, 等. 集束化护理在老年危重患者人工气道管理中的应用. 护理实践与研究, 2017, 14(16): 128-129.
13. 曾碰华, 吴静冰, 郑若菲. 呼吸机湿化器不同加水方法的效果评价与分析. 中国现代药物应用, 2010, 4(15): 239-240.
14. 李秀琼. 呼吸机湿化液不同加入方法与院内感染发生率的相关性研究. 解放军护理杂志, 2006, 23(5): 23-24.
15. 孙晓林, 罗明琴. PDCA 循环在降低 ICU 呼吸机冷凝水倾倒不及时率中的应用. 青海医药杂志, 2018, 48(2): 32-34.
16. 谷红俊, 贾艳红. 呼吸机持续加水与间断加水方法的效果观察. 护理研究, 2011, 25(5): 1165-1166.
17. 李莉, 颜萍, 杨益, 等. 护理人员情绪劳动现状及其影响因素分析. 护理学杂志, 2016, 31(20): 60-62.
18. 陈竞萌, 尤黎明, 郑晶, 等. 医院内科、外科和 ICU 病区护士特征分布以及护理工作环境分析. 中国护理管理, 2012, 12(7): 20-23.
19. 豆春霞, 刘可, 尤黎明, 等. 病房护士人力配置与工作超时相关性研究. 中国护理管理, 2012, 12(5): 23-25.
20. 刘芳, 龚立超, 阮征, 等. 重症脑损伤机械通气患者加温加湿罐水位控制的临床验证效果. 解放军护理杂志, 2017, 34(10): 33-35.
21. 文庭亮, 王琏, 胡波, 等. ICU 不同人工气道湿化器的应用及湿化管理. 长江大学学报, 2013, 10(3): 49-51.
22. Vargas M, Chiumello D, Sutherasan Y, et al. Heat and moisture exchangers (HMEs) and heated humidifiers (HHs) in adult critically ill patients: a systematic review, meta-analysis and meta-regression of randomized controlled trials. Crit Care, 2017, 21(1): 123.
23. Haziot N, Ibrahim M, Zhu K, et al. Impact of leaks and ventilation parameters on the efficacy of humidifiers during home ventilation for tracheostomized patients: a bench study. BMC Pulm Med, 2019, 19(1): 43.

Chinese Journal of Respiratory and Critical Care Medicine

The design and application of ventilator humidifier with infusing fluid automatically

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