Table 3.
Comparison of temperature (T) and absolute humidity (AH) of Heat and Moisture Exchanger (HME) performance indicators between laboratory values as declared by the manufacturer and in vivo measured values. All values are expressed as laboratory values minus in vivo values and were measured at a tidal volume of 500 ml.
HME performance indicators and ventilatory parameters | Laboratory – in vivo t0 | Laboratory – in vivo t1 | Laboratory – in vivo t2 | Laboratory values [15, 16, 19, 20] |
---|---|---|---|---|
Load T (°C) | + 3.4 | + 3.7 | + 3.7 | 37.0 |
(p < 0.01) | (p < 0.01) | (p < 0.01) | ||
| ||||
Load AH (mg/l) | + 6.9 | + 7.4 | + 7.6 | 43.8 |
(p < 0.01) | (p < 0.01) | (p < 0.01) | ||
| ||||
Return T (efficacy) (°C) | + 0.8 | + 1.2 | + 1.3 | 32.3 |
(p < 0.01) | (p < 0.01) | (p < 0.01) | ||
| ||||
Return AH (efficacy) (mg/l) | + 1.3 | + 2.0 | + 2.2 | 33.6 |
(p < 0.01) | (p < 0.01) | (p < 0.01) | ||
| ||||
Thermal differential (efficiency) (°C) | + 2.5 | + 2.5 | + 2.4 | 4.7 |
(p < 0.01) | (p < 0.01) | (p < 0.01) | ||
| ||||
AH yield (efficiency) | - 0.12 | - 0.12 | - 0.12 | 0.77 |
(p < 0.01) | (p < 0.01) | (p < 0.01) | ||
| ||||
Input T (°C) | - 2.9 | - 2.2 | - 2.5 | 23.0 |
(p < 0.01) | (p < 0.01) | (p < 0.01) | ||
| ||||
Input AH (mg/l) | - 0.2 | - 0.3 | - 0.2 | 1.0 |
(p = 0.03) | (p < 0.01) | (p = 0.049) | ||
| ||||
Loss T (°C) | - 3.0 | - 2.3 | - 2.5 | 23.0 |
(p < 0.01) | (p < 0.01) | (p < 0.01) | ||
| ||||
Loss AH (mg/l) | - 0.3 | - 0.9 | - 0.6 | 6.0 |
(p = 0.10) | (p <0.01) | (p =0.16) | ||
| ||||
Tidal volume (ml) | + 57 | + 69 | + 75 | 500 |
(p < 0.01) | (p < 0.01) | (p < 0.01) | ||
| ||||
Respiratory rate (min−1) | - 3 | - 3 | - 3 | 15 |
(p < 0.01) | (p < 0.01) | (p < 0.01) | ||
| ||||
Minute ventilation (l/min) | + 0.04 | - 0.02 | + 0.08 | 7.5 |
(p = 0.91) | (p = 0.96) | (p = 0.84) | ||
| ||||
I:E ratio | + 0.47 | + 0.41 | + 0.42 | 1 |
(p < 0.01) | (p < 0.01) | (p < 0.01) | ||
| ||||
Room temperature (°C) | - 1.0 | - 0.3 | - 0.7 | 23.0 |
(p < 0.01) | (p = 0.63) | (p < 0.01) | ||
| ||||
Patient temperature (°C) | + 0.4 | + 0.1 | + 0.3 | 37.0 |
(p < 0.01) | (p = 0.12) | (p < 0.01) |