A Comparative Study on Three Different Airway Humidification Methods for Patients with Artificial Airway Offline_Chinese Journal of Respiratory and Critical Care Medicine

Authors：

YanPengbo ¹ , QuanJinmei ¹ , LiZhijing ¹ ,  YaoLixiu ²

1. Department of Respiratory and Critical Care Medicine, Affiliated Hospital to Logistics Institute of Armed Police Forces, Tianjin, 300162, China;
2. ;

Corresponding?author：

YaoLixiu, Email: zdjjzx@163.com

Keywords：

Artificial airway; Airway humidification; Heated humidification; Saturated gas

DOI：

10.7507/1671-6205.2014117

Video：

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Objective To compare the effects of different airway humidification methods for patients with artificial airway offline. Methods One hundred and fifty-five critically ill patients with artificial airway who did not need mechanical ventilation for more than 72 h, admitted in the Affiliated Hospital to Armed Police Logistics College between January 2012 and December 2012, were recruited in the study.They were randomly divided into 3 groups to receive different airway humidification treatment, ie.MR410 device for group A, MR850 device for group B, AIRVO2 device for group C.PaO₂, SpO₂, heart rate, and breathing frequency were measured after 72 h.The Airway Scoring System was used for evaluation of sputum viscosity.The time of pulmonary infection control was also recorded. Results There were no significant differences in gender, age, underlying diseases, duration of artificial airway, and APACHEⅡscore among three groups (P > 0.05).There were significant differences in respiratory frequency, PaO₂, SpO₂, heart rate, sputum viscosity, humidification effect, lung infection control time among three groups (P < 0.05), with group C better than group A and B in above parameters. Conclusions Compared with MR410 and MR850 humidification devices, AIRVO2 is a more ideal device for airway humidification, and is more suitable for patients with artificial airway offline.

Citation： YanPengbo, QuanJinmei, LiZhijing, YaoLixiu. A Comparative Study on Three Different Airway Humidification Methods for Patients with Artificial Airway Offline. Chinese Journal of Respiratory and Critical Care Medicine, 2014, 13(5): 480-483. doi: 10.7507/1671-6205.2014117 Copy

1.	周秀秀, 于靜蕊, 楊華, 等.ICU機械通氣患者氣道濕化液體量與影響因素的回歸模型及相關分析.重慶醫科大學學報, 2011, 36:101-103.
2.	王曉慧, 鄭俊波, 王希臻, 等.碳酸氫鈉作為機械通氣患者氣道濕化劑的臨床研究.護理管理雜志, 2011, 11:670-672.
3.	蔣敏, 李海波.機械通氣時氣道濕化的進展.中國危重病急救醫學, 2012, 24:443-446.
4.	高明榕, 成守珍, 張妙音, 等.集束化綜合護理方案預防呼吸機相關性肺炎的研究.中國護理管理, 2010, 10:14-16.
5.	王靜, 魚麗榮, 石曉霞.比較3種不同人工氣道濕化方法的效果比較.護理研究, 2010, 24(5A):48-49.
6.	呂秀艷, 于世榮, 史磊.微量泵控制氣道濕化對氣管切開并發癥的影響.中華現代護理雜志, 2010, 16:46-47.
7.	Branson RD.Secretion management in the mechanically ventilatedpatient.Respir Care, 2007, 52:1328-1342.
8.	熊恩平, 周澤云.不同氣道濕化和吸痰方法對預防急性呼吸窘迫綜合征患者痰痂形成的影響.中華護理雜志, 2011, 46:23-25.
9.	黃德斌, 陳務賢, 寧傳藝.國內持續氣道濕化對人工氣道濕化效果的Meta分析.護理研究, 2010, 24:9-11.
10.	江方正, 李雪, 葉向紅, 等.持續加溫濕化氧療在氣管切開患者脫機中的應用.中華護理雜志, 2011, 46:18-20.
11.	王文博, 蔣敏, 王懷泉, 等.ICU長期機械通氣患者氣道濕化效果探討.哈爾濱醫科大學學報, 2012, 46:448-451.
12.	代冰, 康健, 譚偉, 等.濕化氧療在肺部感染后氣管切開患者中的應用.中華結核和呼吸雜志, 2012, 35:222-224.
13.	陳鳳佳, 李立君, 曾勉.氣管切開患者脫機期間不同濕化方式選擇的研究.中國呼吸與危重監護雜志, 2011, 10:64-67.
14.	孫龍鳳, 代冰, 王愛平.不同氣道濕化方法應用于氣管切開患者的效果比較.中華護理雜志, 2013, 48:18-20.
15.	孫齊云.氣管切開兩種濕化方法的臨床效果比較.護理實踐與研究, 2013, 10:107-108.
16.	Rozsasi A, Leiacker R, Fischer Y, et al.Influence of passive humidification on respiratory heat loss in tracheotomized patients.Head Neck, 2006, 28:609-613.
17.	譚偉, 代冰, 孫龍鳳, 等.MR410與MR850濕化系統對有創機械通氣患者濕化效果的比較.中國呼吸與危重監護雜志, 2012, 11:470-474.
18.	熊恩平, 周澤云.不同氣道濕化和吸痰方法對預防急性呼吸窘迫綜合癥患者痰形成的影響.中華護理雜志, 2011, 46:341-343.
19.	Lellouche F, TailléS, Lefran?ois F, et al.Humidification performance of 48 passive airway humidifiers:comparison with manufacturer data.Chest, 2009, 135:276-286.
20.	孫玉姣, 高敏, 張銀.兩種氣道濕化方法對呼吸機相關性肺炎發生率的影響.中華護理雜志, 2010, 45:18-20.

1. 周秀秀, 于靜蕊, 楊華, 等.ICU機械通氣患者氣道濕化液體量與影響因素的回歸模型及相關分析.重慶醫科大學學報, 2011, 36:101-103.
2. 王曉慧, 鄭俊波, 王希臻, 等.碳酸氫鈉作為機械通氣患者氣道濕化劑的臨床研究.護理管理雜志, 2011, 11:670-672.
3. 蔣敏, 李海波.機械通氣時氣道濕化的進展.中國危重病急救醫學, 2012, 24:443-446.
4. 高明榕, 成守珍, 張妙音, 等.集束化綜合護理方案預防呼吸機相關性肺炎的研究.中國護理管理, 2010, 10:14-16.
5. 王靜, 魚麗榮, 石曉霞.比較3種不同人工氣道濕化方法的效果比較.護理研究, 2010, 24(5A):48-49.
6. 呂秀艷, 于世榮, 史磊.微量泵控制氣道濕化對氣管切開并發癥的影響.中華現代護理雜志, 2010, 16:46-47.
7. Branson RD.Secretion management in the mechanically ventilatedpatient.Respir Care, 2007, 52:1328-1342.
8. 熊恩平, 周澤云.不同氣道濕化和吸痰方法對預防急性呼吸窘迫綜合征患者痰痂形成的影響.中華護理雜志, 2011, 46:23-25.
9. 黃德斌, 陳務賢, 寧傳藝.國內持續氣道濕化對人工氣道濕化效果的Meta分析.護理研究, 2010, 24:9-11.
10. 江方正, 李雪, 葉向紅, 等.持續加溫濕化氧療在氣管切開患者脫機中的應用.中華護理雜志, 2011, 46:18-20.
11. 王文博, 蔣敏, 王懷泉, 等.ICU長期機械通氣患者氣道濕化效果探討.哈爾濱醫科大學學報, 2012, 46:448-451.
12. 代冰, 康健, 譚偉, 等.濕化氧療在肺部感染后氣管切開患者中的應用.中華結核和呼吸雜志, 2012, 35:222-224.
13. 陳鳳佳, 李立君, 曾勉.氣管切開患者脫機期間不同濕化方式選擇的研究.中國呼吸與危重監護雜志, 2011, 10:64-67.
14. 孫龍鳳, 代冰, 王愛平.不同氣道濕化方法應用于氣管切開患者的效果比較.中華護理雜志, 2013, 48:18-20.
15. 孫齊云.氣管切開兩種濕化方法的臨床效果比較.護理實踐與研究, 2013, 10:107-108.
16. Rozsasi A, Leiacker R, Fischer Y, et al.Influence of passive humidification on respiratory heat loss in tracheotomized patients.Head Neck, 2006, 28:609-613.
17. 譚偉, 代冰, 孫龍鳳, 等.MR410與MR850濕化系統對有創機械通氣患者濕化效果的比較.中國呼吸與危重監護雜志, 2012, 11:470-474.
18. 熊恩平, 周澤云.不同氣道濕化和吸痰方法對預防急性呼吸窘迫綜合癥患者痰形成的影響.中華護理雜志, 2011, 46:341-343.
19. Lellouche F, TailléS, Lefran?ois F, et al.Humidification performance of 48 passive airway humidifiers:comparison with manufacturer data.Chest, 2009, 135:276-286.
20. 孫玉姣, 高敏, 張銀.兩種氣道濕化方法對呼吸機相關性肺炎發生率的影響.中華護理雜志, 2010, 45:18-20.

Chinese Journal of Respiratory and Critical Care Medicine

A Comparative Study on Three Different Airway Humidification Methods for Patients with Artificial Airway Offline

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