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Research ArticleOriginal Research

Noise Exposure From High-Flow Nasal Cannula Oxygen Therapy: A Bench Study on Noise Reduction

Takamitsu Kubo, Hiroaki Nakajima, Ryo Shimoda, Tatsuya Seo, Yurie Kanno, Toshikazu Kondo and Sunao Tamai
Respiratory Care March 2018, 63 (3) 267-273; DOI: https://doi.org/10.4187/respcare.05668
Takamitsu Kubo
Medical Equipment Center, Shizuoka Cancer Center Hospital, Shizuoka Prefecture, Japan.
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  • For correspondence: [email protected]
Hiroaki Nakajima
Medical Equipment Center, Shizuoka Cancer Center Hospital, Shizuoka Prefecture, Japan.
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Ryo Shimoda
Medical Equipment Center, Shizuoka Cancer Center Hospital, Shizuoka Prefecture, Japan.
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Tatsuya Seo
Medical Equipment Center, Shizuoka Cancer Center Hospital, Shizuoka Prefecture, Japan.
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Yurie Kanno
Medical Equipment Center, Shizuoka Cancer Center Hospital, Shizuoka Prefecture, Japan.
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Toshikazu Kondo
Medical Equipment Center, Shizuoka Cancer Center Hospital, Shizuoka Prefecture, Japan.
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Sunao Tamai
Division of Anesthesiology, Shizuoka Cancer Center Hospital, Shizuoka Prefecture, Japan.
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Abstract

BACKGROUND: High-flow nasal cannula (HFNC) oxygen therapy produces noise at a level such that patients often complain. However, the noise level has not been measured digitally.

METHODS: We evaluated 3 types of HFNCs without filters and 2 types with filters attached for noise reduction. Optiflow (with and without a filter), MaxVenturi (with and without a filter) and AIRVO2 (without a filter only) were positioned at the center of a hospital room. We measured the noise levels at the distance of 1 m from the equipment at various total flows (30, 40, 50, 60 L/min) and FIO2 (0.40, 0.60, and 0.90).

RESULTS: Noise levels were increased with the AIRVO2 and MaxVenturi when total flow and FIO2 were increased. Noise levels decreased with the MaxVenturi when a filter was used. The noise level did not change with the Optiflow when total flow and FIO2 were increased. The noise level decreased in the groups with AIRVO2 and Optiflow compared with MaxVenturi without a filter.

CONCLUSIONS: The findings in this study show that the noise level of HFNC/Venturi could be reduced by attaching an intake filter. However, the noise level of HFNC/blender and HFNC/turbine decreased in comparison with HFNC/Venturi without an intake filter

  • high flow nasal cannula
  • optiflow
  • maxventuri
  • airvo2
  • noise
  • noise level
  • hfnc

Footnotes

  • Correspondence: Takamitsu Kubo, Clinical Engineer Shizuoka Cancer Center, 1007 Shimonagakubo, Nagaizumi-cho, Sunto-gun, Shizuoka Prefecture, 4118777 Japan. E-mail: t.kubo{at}scchr.jp.
  • The authors have disclosed no conflicts of interests.

  • See the Related Editorial on Page 371

  • Copyright © 2018 by Daedalus Enterprises
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Respiratory Care: 63 (3)
Respiratory Care
Vol. 63, Issue 3
1 Mar 2018
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Noise Exposure From High-Flow Nasal Cannula Oxygen Therapy: A Bench Study on Noise Reduction
Takamitsu Kubo, Hiroaki Nakajima, Ryo Shimoda, Tatsuya Seo, Yurie Kanno, Toshikazu Kondo, Sunao Tamai
Respiratory Care Mar 2018, 63 (3) 267-273; DOI: 10.4187/respcare.05668

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Noise Exposure From High-Flow Nasal Cannula Oxygen Therapy: A Bench Study on Noise Reduction
Takamitsu Kubo, Hiroaki Nakajima, Ryo Shimoda, Tatsuya Seo, Yurie Kanno, Toshikazu Kondo, Sunao Tamai
Respiratory Care Mar 2018, 63 (3) 267-273; DOI: 10.4187/respcare.05668
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Keywords

  • high flow nasal cannula
  • optiflow
  • maxventuri
  • airvo2
  • noise
  • noise level
  • HFNC

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