Investigation of Inspiratory Circuit Condensation due to Room Temperature in a Heated Humidifier during Mechanical Ventilation

Koji Konishi, S. Inoue, M. Kawaguchi
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Abstract

Heating and humidification control during mechanical ventilation is impor-tant. Water condensation can occur due to insufficient humidification. Condensation in the breathing circuit can cause various adverse events. In this study, we investigated whether the occurrence of tubing condensation in the breathing circuit could be affected by room temperature using a simulated respiratory circuit with a humidifier. The room temperature was set at 23˚C, 25˚C, and 27˚C, and mechanical ventilation was performed for 8 h. The inspired gas was appropriately heated and humidified according to the manu-facturer’s instructions. The weight of the circuit was measured every 2 h at room temperature to estimate the amount of condensation. During the mechanical ventilation, condensation continued to increase at a room temperature of 23˚C, but only for the first 2 h at 25˚C, and did not occur at 27˚C. The room temperature of the indoor environment was one of the factors generat-ing water condensation in the breathing circuit with a humidifier even when a heater wire in the breathing circuit was appropriately operated.
加热加湿器在机械通风过程中因室温引起的吸气回路冷凝的研究
机械通风过程中的加热和加湿控制非常重要。由于加湿不足,可能会发生冷凝水。呼吸回路中的冷凝会引起各种不良事件。在这项研究中,我们使用一个带有加湿器的模拟呼吸回路,研究室温是否会影响呼吸回路中管道冷凝的发生。室温分别设置为23℃、25℃、27℃,机械通风8 h。吸入气体按厂家说明书适当加热加湿。在室温下每2小时测量一次电路的重量,以估计冷凝量。机械通风过程中,在室温为23˚C时,结露持续增加,但在25˚C时仅在前2 h发生,在27˚C时未发生结露。室内环境的室温是加湿器呼吸回路中产生冷凝水的因素之一,即使呼吸回路中的加热丝操作得当。
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