A novel Venturi system to generate high flow with titratable FiO2
DOI:
https://doi.org/10.33393/ao.2021.2284Keywords:
CPAP, Noninvasive ventilation, Acute Respiratory Failure, OxygenAbstract
Venturi-based flow generators are commonly used for noninvasive continuous positive airway pressure (CPAP) of high-flow nasal oxygen (HFNO). The system is simple and allows to increase the total flow while decreasing the FiO2 starting from a single oxygen source.
In this report we describe the characteristics and performance of a novel Venturi system (EasyVEE, Levate, BG, Italy), which allows to vary the size of the port through which ambient air is entrained, hence allowing a continuous modulation of FiO2.
The system allowed to modify FiO2 continuously between 35% and 80% and, consequently, a 1.5- to 4.5-fold increase of the total flow rate. A minimal decrease in entrainment performance was observed for positive end-expiratory pressure levels above 12.5 cmH2O.
EasyVEE system appears to be a simple, flexible, and reliable solution to generate continuous flow for noninvasive respiratory support interfaces.
Downloads
References
Ferreyro BL, Angriman F, Munshi L, et al. Association of noninvasive oxygenation strategies with all-cause mortality in adults with acute hypoxemic respiratory failure: a systematic review and meta-analysis. JAMA. 2020;324(1):57-67. https://doi.org/10.1001/jama.2020.9524PMID:32496521 DOI: https://doi.org/10.1001/jama.2020.9524
Bellani G, Grasselli G, Cecconi M, et al. Noninvasive ventilatory support of patients with COVID-19 outside the intensive care units (WARd-COVID). Ann Am Thorac Soc. 2021;18(6):1020-1026. https://doi.org/10.1513/AnnalsATS.202008-1080OC PMID:33395553 DOI: https://doi.org/10.1513/AnnalsATS.202008-1080OC
Coppadoro A, Grassi A, Giovannoni C, et al. Occurrence of pendelluft under pressure support ventilation in patients who failed a spontaneous breathing trial: an observational study. Ann Intensive Care. 2020;10(1):39. https://doi.org/10.1186/s13613-020-00654-y PMID:32266600 DOI: https://doi.org/10.1186/s13613-020-00654-y
Alharthy A, Faqihi F, Noor A, et al. Helmet continuous positive airway pressure in the treatment of COVID-19 patients with acute respiratory failure could be an effective strategy: a feasibility study. J Epidemiol Glob Health. 2020;10(3):201-203. https://doi.org/10.2991/jegh.k.200817.001 PMID:32954709 DOI: https://doi.org/10.2991/jegh.k.200817.001
Aliberti S, Radovanovic D, Billi F, et al. Helmet CPAP treatment in patients with COVID-19 pneumonia: a multicentre cohort study. Eur Respir J. 2020;56(4):56. https://doi.org/10.1183/13993003.01935-2020 PMID:32747395 DOI: https://doi.org/10.1183/13993003.01935-2020
Brusasco C, Corradi F, De Ferrari A, Ball L, Kacmarek RM, Pelosi P. CPAP devices for emergency prehospital use: a bench study. Respir Care. 2015;60(12):1777-1785. https://doi.org/10.4187/respcare.04134 PMID:26420898 DOI: https://doi.org/10.4187/respcare.04134
Garofalo E, Bruni A, Pelaia C, et al. Evaluation of a new interface combining high-flow nasal cannula and CPAP. Respir Care. 2019;64(10):1231-1239. https://doi.org/10.4187/respcare.06871 PMID:31164484 DOI: https://doi.org/10.4187/respcare.06871
Published
How to Cite
License
Copyright (c) 2021 Andrea Coppadoro, Giacomo Bellani
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Accepted 2021-09-07
Published 2021-10-13