q - vent一种新型设备,用于COVID-19等疾病导致的呼吸衰竭患者的紧急肺部通气

Patrik Palacka, Samuel Furka, Daniel Furka, Tibor Huzevka, Dalibor Gallik, Marian Janek
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引用次数: 1

摘要

自2019年底以来,一种引起肺炎的新型冠状病毒(SARS-CoV-2)在全球蔓延,通常会迅速恶化,并出现需要高级生命支持的急性呼吸窘迫综合征(ARDS)。我们目前在全球目睹的人道主义危机正威胁到呼吸衰竭患者获得人工肺通气(AVL)。Q-vent是一种多路空气阀系统,带有过滤器和加热器/加湿器模块,由3D打印机生产,采用基于苯二酚B、皂土和聚乳酸的新型复合材料,可防止细菌生物膜的形成。这种自动化设备可与市售的Ambu®呼吸袋或类似设备一起安装,提供高度的可控性以及一盒复杂性。内置的咳嗽传感器会在病人醒来时发出警告。在断电的情况下,Q-vent切换到电池备用状态。所开发的设备在肺顺应性为50 ml/cm H2O的患者(80 kg)对应的插管模型(Gaumard®Scientific - UNI®)上进行测试,模拟ARDS 24小时。调整吸气呼气比(I:E)、潮气量为8 ml/kg PBW (l型肺炎)和6 ml/kg PBW (h型肺炎)、吸气频率,测试不同条件下Q-Vent的运行情况。在整个测试过程中,所有功能都可靠地执行。Q-Vent成功通过了由MHRA颁发的快速制造呼吸机系统(RMVS001)验证,正在等待临床试验,以确定其在克服缺乏传统AVL造成的危机方面的价值。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Q-VENT—A novel device for emergency ventilation of the lungs in patients with respiratory failure due to diseases such as COVID-19

Since the end of 2019, a novel coronavirus (SARS-CoV-2) causing pneumonia, often progressing to rapid deterioration with acute respiratory distress syndrome (ARDS) requiring advanced life support, has been spreading worldwide. The humanitarian crisis we are currently witnessing across the globe is threatening access to artificial ventilation of the lungs (AVL) for patients with respiratory failure. Q-vent is a multi-way air valve system with filters and heater/humidifier module produced by 3D printer from a new composite material based on Phloxine B, Saponite and Polylactic acid that prevents the formation of bacterial biofilms. This automated device, which can be fitted with commercially available Ambu® Breathing Bags or similar, provides a high degree of controllability along with one-box complexity. A built-in cough sensor warns of patient's awakening. In the case of power failure, Q-vent switches to battery reserve. The developed device was tested on an intubated model (Gaumard® Scientific - UNI®) corresponding to a patient (80 kg) with lung compliance 50 ml/cm H2O to simulate ARDS for 24 hours. The inspiration-to-expiration (I:E) ratio, tidal volume set to 8 ml/kg PBW (L-type pneumonia) and 6 ml/kg PBW (H-type Pneumonia), and frequency of inspiration were adjusted to test Q-Vent operation at a range of different conditions. All functions performed reliably throughout the testing procedure. Q-Vent successfully passed the Rapidly Manufactured Ventilator System (RMVS001) validation issued by MHRA and is awaiting clinical trials to determine its value in overcoming crises caused by the lack of conventional AVL.

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