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Research ArticleOriginal Research

A New Heat And Moisture Exchanger for Laryngectomized Patients: Endotracheal Temperature and Humidity

Renske J Scheenstra, Saar H Muller, Andrew Vincent, Annemieke H Ackerstaff, Irene Jacobi and Frans JM Hilgers
Respiratory Care May 2011, 56 (5) 604-611; DOI: https://doi.org/10.4187/respcare.00810
Renske J Scheenstra
Department of Head and Neck Oncology and Surgery, The Netherlands Cancer Institute-Antoni van Leeuwenhoek Hospital, Amsterdam, The Netherlands.
Department of Otorhinolaryngology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
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Saar H Muller
Department of Nuclear Medicine-Radiology, The Netherlands Cancer Institute-Antoni van Leeuwenhoek Hospital, Amsterdam, The Netherlands.
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Andrew Vincent
Department of Biostatistics, The Netherlands Cancer Institute-Antoni van Leeuwenhoek Hospital, Amsterdam, The Netherlands.
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Annemieke H Ackerstaff
Department of Head and Neck Oncology and Surgery, The Netherlands Cancer Institute-Antoni van Leeuwenhoek Hospital, Amsterdam, The Netherlands.
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Irene Jacobi
Department of Head and Neck Oncology and Surgery, The Netherlands Cancer Institute-Antoni van Leeuwenhoek Hospital, Amsterdam, The Netherlands.
Institute of Phonetic Sciences (ACLC), University of Amsterdam, The Netherlands.
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Frans JM Hilgers
Department of Head and Neck Oncology and Surgery, The Netherlands Cancer Institute-Antoni van Leeuwenhoek Hospital, Amsterdam, The Netherlands.
Institute of Phonetic Sciences (ACLC), University of Amsterdam, The Netherlands.
Department of Otorhinolaryngology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
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    Fig. 1.

    The studied heat and moisture exchangers (HMEs). Top left: Standard HME used in anesthesiology and intensive care. Top right: Stomvent, with integrated adhesive. Bottom left: Provox Normal. Bottom middle: Rplus. Bottom right: Lplus.

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    Fig. 2.

    The Provox Normal (left) uses a spring mechanism for the speaking valve, whereas Rplus uses the recoil of the hygroscopic foam material.

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    Fig. 3.

    Humidity and temperature of tracheal gas from the moment of covering the open stoma with a Provox Normal heat and moisture exchanger. Equilibrium is usually reached within one minute.

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    Fig. 4.

    Example of temperature and humidity of tracheal gas over 2 breaths. The total breath duration is defined as the time between the starts of 2 successive exhalations. The inspiratory time and expiratory time are approximated as the time between the midpoints of inhalation and exhalation.

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Respiratory Care: 56 (5)
Respiratory Care
Vol. 56, Issue 5
1 May 2011
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A New Heat And Moisture Exchanger for Laryngectomized Patients: Endotracheal Temperature and Humidity
Renske J Scheenstra, Saar H Muller, Andrew Vincent, Annemieke H Ackerstaff, Irene Jacobi, Frans JM Hilgers
Respiratory Care May 2011, 56 (5) 604-611; DOI: 10.4187/respcare.00810

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A New Heat And Moisture Exchanger for Laryngectomized Patients: Endotracheal Temperature and Humidity
Renske J Scheenstra, Saar H Muller, Andrew Vincent, Annemieke H Ackerstaff, Irene Jacobi, Frans JM Hilgers
Respiratory Care May 2011, 56 (5) 604-611; DOI: 10.4187/respcare.00810
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Keywords

  • laryngectomy
  • heat and moisture exchanger
  • HME
  • humidity
  • heating
  • humidification
  • respiration

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