Influence of Heat and Moisture Exchanger Filter on Temperature of Inspiratory and Endotracheal Gas / 医疗卫生装备

ABSTRACT

Objective To investigate the influence of heat and moisture exchanger filter(HMEF)on the temperature of inhaled and endotracheal gas during mechanical ventilation. Methods Thirty patients (ASAI-II) were selected and divided randomly into 2 groups: control group and HMEF group. The temperature of inhaled gas was monitored with hygrothermograph and the temperature of endotracheal gas was monitored with temperature probe. Baseline values were set at the moment of intubation and then the values were recorded at the first hour after intubation and the second hour after intubation. Results With the increase of the mechanical ventilation time, the temperature of inhaled and endotracheal gas decreased significantly in control group and increased significantly in HMEF group; The temperature of both inhaled and endotracheal gas in HMEF group were significantly higher than that in control group at the moment of the first hour after intuba- tion and the second hour after intubation; There was correlation between the temperature of inhaled gas and the temperature of endotracheal gas at the moment of intubation, but it was not the same at the moment of the first hour after intubation or the second hour after intubation. Conclusion HMEF can make the cold inhaled gas warmer when it reached the trachea; Temperature probe may be better than hygrothermograph for monitoring the temperature of trachea.