Herff, Holger, Schroeder, Daniel C., Bowden, Kevin, Paal, Peter, Mitterlechner, Thomas and Wenzel, Volker (2020). Temperature loss by ventilation in a calorimetric bench model. Med. Gas Res., 10 (1). S. 27 - 30. MUMBAI: WOLTERS KLUWER MEDKNOW PUBLICATIONS. ISSN 2045-9912

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Abstract

In intensive care medicine heat moisture exchangers are standard tools to warm and humidify ventilation gases in order to prevent temperature loss of patients or airway epithelia damage. Despite being at risk of hypothermia especially after trauma, intubated emergency medicine patients are often ventilated with dry and in winter probably cold ventilation gases. We tried to assess the amount of temperature-loss due to ventilation with cold, dry medical oxygen in comparison to ventilation with warm and humidified oxygen. We ventilated a 50-kg water-dummy representing the calorimetric capacity of a 60-kg patient over a period of 2 hours (tidal volume 6.6 mL/kg = 400 mL; respiratory rate 13/min). Our formal null-hypothesis was that there would be no differences in temperature loss in a 50 kg water-dummy between ventilation with dry oxygen at 10 degrees C vs. ventilation with humidified oxygen at 43 degrees C. After 2 hours the temperature in the water-dummy using cold and dry oxygen was 29.7 +/- 0.1 degrees C compared to 30.4 +/- 0.1 degrees C using warm and humidified oxygen. This difference in cooling rates between both ventilation attempts of 0.7 +/- 0.1 degrees C after 2 hours represents an increased cooling rate of similar to 0.35 degrees C per hour. Ventilation with cool, dry oxygen using an automated transport ventilator resulted in a 0.35 degrees C faster cooling rate per hour than ventilation with warm humidified oxygen in a bench model simulating calorimetric features of a 60-kg human body.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Herff, HolgerUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schroeder, Daniel C.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Bowden, KevinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Paal, PeterUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Mitterlechner, ThomasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wenzel, VolkerUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-350994
DOI: 10.4103/2045-9912.279980
Journal or Publication Title: Med. Gas Res.
Volume: 10
Number: 1
Page Range: S. 27 - 30
Date: 2020
Publisher: WOLTERS KLUWER MEDKNOW PUBLICATIONS
Place of Publication: MUMBAI
ISSN: 2045-9912
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
ACCIDENTAL HYPOTHERMIA; ANESTHETIC-GASES; TRAUMA; PATHOPHYSIOLOGY; COAGULOPATHY; HEAT; CAREMultiple languages
Medicine, Research & ExperimentalMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/35099

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