Einfluss von aktiver und passiver Befeuchtung auf die beatmungsassoziierte nosokomiale Pneumonie

Kranabetter, R.; Leier, Mary E.; Kammermeier, D.; Just, Heinz-Michael; Heuser, D.

doi:10.1007/s00101-003-0607-7

Cited by 14 publications

(2 citation statements)

References 21 publications

(12 reference statements)

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“…Diese These ist für die Narkosebeatmung nicht untersucht. Für die Beatmung im Rahmen der Intensivtherapie mit HME-F vs. aktive Befeuchtung sind Studien publiziert [5,8,13,18]. Die Mehrzahl dieser Untersuchungen konnte aufgrund methodischer Probleme und kleiner Fallzahlen keine Reduktion der Pneumonierate finden.…”

Section: Hygienische Betrachtungunclassified

“…Die Mehrzahl dieser Untersuchungen konnte aufgrund methodischer Probleme und kleiner Fallzahlen keine Reduktion der Pneumonierate finden. Indessen konnten die Metaanalyse von Kola et al [16] über 8 Publikationen und nicht zuletzt eigene Daten [18] aus 3585 Intensivbeatmungspatienten einen signifikanten Zusammenhang zwischen Einsatz eines HME-F und Reduktion beatmungsassoziierter Infektionen beweisen.…”

Section: Hygienische Betrachtungunclassified

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HME-Filter versus patientenbezogener Wechsel der Beatmungsschlauchsysteme von Narkosegeräten

et al. 2006

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Procedure-related costs were calculated for an operating theatre with 10 operating rooms. The variable parameter was the different hygiene regimens for the preparation of the anaesthesia circuit. In April 2003 a change was made for the whole anaesthesia area. Either change of the anaesthesia tube system after every patient or the use of a hydrophobic HME-F (heat and moisture exchange filter) with daily or weekly change of the anaesthesia tube system were calculated. All costs were ascertained on real findings and typical procedures. Data according to safety and hygienic value were discussed and supplemented by our own findings about perioperative pneumonia. The additional costs for the HME-F are covered by the savings for CO(2) lines and the reduction of reprocessing expenses and overall material costs were reduced. The operational work on anaesthesia machines decreased considerably. Combined cost types revealed savings up to 9,72 EUR for a single anaesthesia procedure. Filtration of the respiratory gases for particles, bacteria, viruses and airway climatisation is an additional positive effect of HME-F use. Incidence of postoperative pneumonia on intensive care units was monitored by KISS (German hospital infection surveillance system) and the change to the HME-F regimen did not indicate a higher risk of infection. By the implementation of a weekly change of the anaesthesia tube system using HME filters a hygienic management for anaesthesia circuit reprocessing was found which could mobilize considerable resources.

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Section: Hygienische Betrachtungunclassified

HME-Filter versus patientenbezogener Wechsel der Beatmungsschlauchsysteme von Narkosegeräten

et al. 2006

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Heated humidification versus heat and moisture exchangers for ventilated adults and children

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Gillies

Todd

et al. 2010

Cochrane Database of Systematic Reviews

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There is little evidence of an overall difference between HMEs and HHs. However, hydrophobic HMEs may reduce the risk of pneumonia and the use of an HME may increase artificial airway occlusion in certain subgroups of patients. Therefore, HMEs may not be suitable for patients with limited respiratory reserve or prone to airway blockage. Further research is needed relating to hydrophobic versus hygroscopic HMEs and the use of HMEs in the paediatric and neonatal populations. As the design of HMEs evolves, evaluation of new generation HMEs will also need to be undertaken.

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Heat and moisture exchangers versus heated humidifiers for mechanically ventilated adults and children

Gillies

Todd

Foster

et al. 2017

Cochrane Database of Systematic Reviews

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The available evidence suggests no difference between HMEs and HHs on the primary outcomes of airway blockages, pneumonia and mortality. However, the overall low quality of this evidence makes it difficult to be confident about these findings. Further research is needed to compare HMEs to HHs, particularly in paediatric and neonatal populations, but research is also needed to more effectively compare different types of HME to each other as well as different types of HH.

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Einfluss von aktiver und passiver Befeuchtung auf die beatmungsassoziierte nosokomiale Pneumonie

Cited by 14 publications

References 21 publications

HME-Filter versus patientenbezogener Wechsel der Beatmungsschlauchsysteme von Narkosegeräten

HME-Filter versus patientenbezogener Wechsel der Beatmungsschlauchsysteme von Narkosegeräten

Heated humidification versus heat and moisture exchangers for ventilated adults and children

Heat and moisture exchangers versus heated humidifiers for mechanically ventilated adults and children

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