Assessment of the Efficacy of an Automated AMBU Bag Operating Device (RC Device) in Patients Requiring Mechanical Ventilation: A Pilot Study

IF 0.2 Q4 NEUROSCIENCES
R. Chauhan, S. Bloria, Priya Thappa, Raman Sharma, R. Sarna, Shyam C. Meena, A. Luthra, Nidhi B. Panda, Sandeep Mohindra, Nidhi Singh, Swati Patel
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Abstract

Abstract Background  Providing efficient mechanical ventilation using artificial manual breathing unit is a tiring and laborious task for healthcare providers. The current pilot study was planned to assess the efficacy of an automated artificial mechanical breathing unit (respiration control [RC] device) in patients requiring mechanical ventilation in a tertiary care hospital in North India. RC device is an automated bag valve mask ventilator developed in collaboration with Gyrodrive Machineries (P) Ltd. India and Postgraduate Institute of Medical Education and Research, Chandigarh. Methods  Ten adult patients from the emergency and trauma section requiring mechanical ventilation who were unable to obtain ventilators in the intensive care unit were enrolled in the study. The vital parameters of the patients and the respiratory parameters from arterial blood gas were recorded at given time periods. Results  All 10 patients recruited in the study were ventilated using the RC device for at least 24 hours. The mean age of the patients was 32.3 ± 4.3 years. The mean Glasgow coma scale was 7.2 ± 2.0 (range: 3–10). The heart rate, systolic blood pressure, and diastolic blood pressure remained within normal limits. There were no episodes of desaturation in any of the patients. The patients' care provider rated their satisfaction with the device as excellent in two patients and good in eight patients. Conclusion  RC device has shown a promising result in providing satisfactory care among trauma patients and may be used in providing routine mechanical ventilation among these patients.
评估自动 AMBU 袋操作装置(RC 装置)对需要机械通气患者的疗效:试点研究
摘要 背景 使用人工手动呼吸装置提供高效的机械通气对医护人员来说是一项既劳累又费力的工作。目前的试点研究旨在评估自动化人工机械呼吸装置(呼吸控制 [RC] 装置)对北印度一家三级医院中需要机械通气的患者的疗效。RC 设备是与印度 Gyrodrive Machineries (P) Ltd. 和印度医学研究生院合作开发的自动袋阀面罩呼吸机。印度和昌迪加尔医学教育与研究研究生院合作开发。研究方法 研究对象为急诊和创伤科需要机械通气且无法在重症监护室获得呼吸机的 10 名成年患者。在特定时间段记录患者的生命参数和动脉血气的呼吸参数。结果 研究中招募的所有 10 名患者均使用 RC 设备通气至少 24 小时。患者的平均年龄为(32.3 ± 4.3)岁。格拉斯哥昏迷量表的平均值为 7.2 ± 2.0(范围:3-10)。心率、收缩压和舒张压均保持在正常范围内。所有患者均未出现饱和度降低的情况。2 名患者的护理人员对该装置的满意度为 "优",8 名患者的满意度为 "良"。结论 RC 设备在为创伤患者提供令人满意的护理方面显示出良好的效果,可用于为这些患者提供常规机械通气。
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