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Research ArticleOriginal Research

Development of Personalized Fitting Device With 3-Dimensional Solution for Prevention of NIV Oronasal Mask-Related Pressure Ulcers

Maiko Shikama, Gojiro Nakagami, Hiroshi Noguchi, Taketoshi Mori and Hiromi Sanada
Respiratory Care August 2018, 63 (8) 1024-1032; DOI: https://doi.org/10.4187/respcare.05691
Maiko Shikama
Department of Gerontological Nursing/Wound Care Management, The University of Tokyo, Japan.
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Gojiro Nakagami
Department of Gerontological Nursing/Wound Care Management, The University of Tokyo, Japan.
Global Nursing Research Center, The University of Tokyo, Japan.
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Hiroshi Noguchi
Global Nursing Research Center, The University of Tokyo, Japan.
Department of Life Support Technology (Molten), The University of Tokyo, Tokyo, Japan.
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Taketoshi Mori
Global Nursing Research Center, The University of Tokyo, Japan.
Department of Life Support Technology (Molten), The University of Tokyo, Tokyo, Japan.
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Hiromi Sanada
Department of Gerontological Nursing/Wound Care Management, The University of Tokyo, Japan.
Global Nursing Research Center, The University of Tokyo, Japan.
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    Fig. 1.

    Overall workflow of producing a personalized fitting device.

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    Fig. 2.

    An example of the positioning of the noninvasive ventilation mask on a face model, as shown using 3D software. (A) Side view of the positioning. (B) Upper view of the positioning. (C) The distance from the face to the mask: a positive distance indicates that the face overlaps the mask, whereas a negative distance indicates that the face does not make contact with the mask.

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    Fig. 3.

    Experimental protocol. (A) Evaluation of discomfort level and presence of blanchable erythema. (B) Evaluation of contact pressure during NIV at 50 L/min. NIV = noninvasive ventilation; LV = leak volume.

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    Fig. 4.

    Sensor location between the mask and face.

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Respiratory Care: 63 (8)
Respiratory Care
Vol. 63, Issue 8
1 Aug 2018
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Development of Personalized Fitting Device With 3-Dimensional Solution for Prevention of NIV Oronasal Mask-Related Pressure Ulcers
Maiko Shikama, Gojiro Nakagami, Hiroshi Noguchi, Taketoshi Mori, Hiromi Sanada
Respiratory Care Aug 2018, 63 (8) 1024-1032; DOI: 10.4187/respcare.05691

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Development of Personalized Fitting Device With 3-Dimensional Solution for Prevention of NIV Oronasal Mask-Related Pressure Ulcers
Maiko Shikama, Gojiro Nakagami, Hiroshi Noguchi, Taketoshi Mori, Hiromi Sanada
Respiratory Care Aug 2018, 63 (8) 1024-1032; DOI: 10.4187/respcare.05691
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Keywords

  • adverse effects
  • critical care
  • imaging
  • three-dimensional
  • intensive care units
  • mask fit
  • medical device-related pressure ulcers
  • noninvasive ventilation
  • pressure ulcer
  • printing

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