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Research ArticleOriginal Research

High Flow Through a Nasal Cannula and CPAP Effect in a Simulated Infant Model

Teresa A Volsko, Kathy Fedor, Jason Amadei and Robert L Chatburn
Respiratory Care December 2011, 56 (12) 1893-1900; DOI: https://doi.org/10.4187/respcare.01204
Teresa A Volsko
Children's Hospital Medical Center of Akron, Akron, Ohio.
MHHS RRT FAARC
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  • For correspondence: [email protected]
Kathy Fedor
Pediatric Institute; and
RRT-NPS
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Jason Amadei
Respiratory Institute, The Cleveland Clinic, Cleveland Ohio.
RRT
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Robert L Chatburn
Respiratory Institute, The Cleveland Clinic, Cleveland Ohio.
MHHS RRT-NPS FAARC
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  • Fig. 1.
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    Fig. 1.

    Template for selecting nasal prong size.

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    Fig. 2.

    Model nares, made from a 22-mm inner-diameter adapter, with nasal cannula in place, attached to the lung simulator. The cap on the distal end of the adapter prevents leak, which simulates a closed-mouth scenario. LG = large (ie, the large nasal prongs indicated in Fig. 1).

  • Fig. 3.
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    Fig. 3.

    Changes in tidal volume at 6 flows (0–6 L/min) and 4 simulated muscle pressure (Pmus) settings.

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    Fig. 4.

    Changes in peak pressure, mean pressure, and PEEP at 6 flows (0–6 L/min) and 2 simulated muscle pressure (Pmus) settings.

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    Fig. 5.

    Pressure drop (Pmin) at 6 flows (0–6 L/min) and 4 simulated muscle pressure (Pmus) settings during the initiation of an inspiratory effort.

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    Fig. 6.

    Representative flow and pressure waveforms, with a simulated muscle pressure of 13 cm H2O, show the effect of nasal cannula on airway pressure (red waveforms) and flow (black waveforms, scale × 0.1).

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In this issue

Respiratory Care: 56 (12)
Respiratory Care
Vol. 56, Issue 12
1 Dec 2011
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High Flow Through a Nasal Cannula and CPAP Effect in a Simulated Infant Model
Teresa A Volsko, Kathy Fedor, Jason Amadei, Robert L Chatburn
Respiratory Care Dec 2011, 56 (12) 1893-1900; DOI: 10.4187/respcare.01204

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High Flow Through a Nasal Cannula and CPAP Effect in a Simulated Infant Model
Teresa A Volsko, Kathy Fedor, Jason Amadei, Robert L Chatburn
Respiratory Care Dec 2011, 56 (12) 1893-1900; DOI: 10.4187/respcare.01204
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Keywords

  • nasal CPAP
  • high-flow nasal cannula
  • pediatric
  • oxygen therapy

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