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Can I read Prolonged Use of Heat and Moisture Exchangers Does Not Affect Device Efficiency or Frequency Rate of Nosocomial Pneumonia on EtoBox?

Prolonged Use of Heat and Moisture Exchangers Does Not Affect Device Efficiency or Frequency Rate of Nosocomial Pneumonia by Kenneth Davis; Susan L. Evans; Robert S. Campbell; Jay A. Johannigman; Fred A. Luchette; David T. Porembka; Richard D. Branson is a Medicine article available to read on EtoBox.

What is Prolonged Use of Heat and Moisture Exchangers Does Not Affect Device Efficiency or Frequency Rate of Nosocomial Pneumonia about?

Objective: To determine whether use of a single heat and moisture exchanger (HME) for ≤120 hrs affects efficiency, resistance, level of bacterial colonization, frequency rate of nosocomial pneumonia, and cost compared with changing the HME every 24 hrs. ## Design: Prospective, controlled, randomized, unblinded study. ## Setting : Surgical intensive care unit at a university teaching hospital. Patients: A total of 220 consecutive patients requiring mechanical ventilation for >48 hrs. Interventions: Patients were randomized to one of three groups: a) hygroscopic HME (Aqua+) changed every 24 hrs (HHME-24); b) hydrophobic HME (Duration HME) changed every 120 hrs (HME-120); and c) hygroscopic HME (Aqua+) changed every 120 hrs (HHME-120). Devices in all groups could be changed at the discretion of the staff when signs of occlusion or increased resistance were identified. Measurements and Main Results: Daily measurements of inspired gas temperature, inspired relative humidity, and device resistance were made. Additionally, daily cultures of the patient side of the device were accomplished. The frequency rate of nosocomial pneumonia was made by using clinical criteria. Ventilatory support

Who reads Prolonged Use of Heat and Moisture Exchangers Does Not Affect Device Efficiency or Frequency Rate of Nosocomial Pneumonia?

It is typically read by researchers, students, and practitioners in Medicine.

Author
Kenneth Davis; Susan L. Evans; Robert S. Campbell; Jay A. Johannigman; Fred A. Luchette; David T. Porembka; Richard D. Branson
Publisher
Lippincott Williams and Wilkins; Ovid Technologies (Wolters Kluwer) - Lippincott Williams & Wilkins; Lippincott Williams & Wilkins Ltd.; Ovid Technologies (Wolters Kluwer Health) (ISSN 0090-3493)
Published
2000
Language
EN
Field
Medicine (Health Sciences)

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