Performance of EasyBreath Decathlon Snorkeling mask for delivering continuous positive airway pressure

Abstract During the COVID-19 pandemic, the need for noninvasive respiratory support devices has dramatically increased, sometimes exceeding hospital capacity. The full-face Decathlon snorkeling mask, EasyBreath (EB mask), has been adapted to deliver continuous positive airway pressure (CPAP) as an e...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Alberto Noto, Claudia Crimi, Andrea Cortegiani, Massimiliano Giardina, Filippo Benedetto, Pietro Princi, Annalisa Carlucci, Lorenzo Appendini, Cesare Gregoretti
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/6f0ef7a828734a098057b24845cffd5a
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:6f0ef7a828734a098057b24845cffd5a
record_format	dspace
spelling	oai:doaj.org-article:6f0ef7a828734a098057b24845cffd5a2021-12-02T15:53:45ZPerformance of EasyBreath Decathlon Snorkeling mask for delivering continuous positive airway pressure10.1038/s41598-021-85093-w2045-2322https://doaj.org/article/6f0ef7a828734a098057b24845cffd5a2021-03-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-85093-whttps://doaj.org/toc/2045-2322Abstract During the COVID-19 pandemic, the need for noninvasive respiratory support devices has dramatically increased, sometimes exceeding hospital capacity. The full-face Decathlon snorkeling mask, EasyBreath (EB mask), has been adapted to deliver continuous positive airway pressure (CPAP) as an emergency respiratory interface. We aimed to assess the performance of this modified EB mask and to test its use during different gas mixture supplies. CPAP set at 5, 10, and 15 cmH2O was delivered to 10 healthy volunteers with a high-flow system generator set at 40, 80, and 120 L min−1 and with a turbine-driven ventilator during both spontaneous and loaded (resistor) breathing. Inspiratory CO2 partial pressure (PiCO2), pressure inside the mask, breathing pattern and electrical activity of the diaphragm (EAdi) were measured at all combinations of CPAP/flows delivered, with and without the resistor. Using the high-flow generator set at 40 L min−1, the PiCO2 significantly increased and the system was unable to maintain the target CPAP of 10 and 15 cmH2O and a stable pressure within the respiratory cycle; conversely, the turbine-driven ventilator did. EAdi significantly increased with flow rates of 40 and 80 L min−1 but not at 120 L min−1 and with the turbine-driven ventilator. EB mask can be safely used to deliver CPAP only under strict constraints, using either a high-flow generator at a flow rate greater than 80 L min−1, or a high-performance turbine-driven ventilator.Alberto NotoClaudia CrimiAndrea CortegianiMassimiliano GiardinaFilippo BenedettoPietro PrinciAnnalisa CarlucciLorenzo AppendiniCesare GregorettiNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Alberto Noto Claudia Crimi Andrea Cortegiani Massimiliano Giardina Filippo Benedetto Pietro Princi Annalisa Carlucci Lorenzo Appendini Cesare Gregoretti Performance of EasyBreath Decathlon Snorkeling mask for delivering continuous positive airway pressure
description	Abstract During the COVID-19 pandemic, the need for noninvasive respiratory support devices has dramatically increased, sometimes exceeding hospital capacity. The full-face Decathlon snorkeling mask, EasyBreath (EB mask), has been adapted to deliver continuous positive airway pressure (CPAP) as an emergency respiratory interface. We aimed to assess the performance of this modified EB mask and to test its use during different gas mixture supplies. CPAP set at 5, 10, and 15 cmH2O was delivered to 10 healthy volunteers with a high-flow system generator set at 40, 80, and 120 L min−1 and with a turbine-driven ventilator during both spontaneous and loaded (resistor) breathing. Inspiratory CO2 partial pressure (PiCO2), pressure inside the mask, breathing pattern and electrical activity of the diaphragm (EAdi) were measured at all combinations of CPAP/flows delivered, with and without the resistor. Using the high-flow generator set at 40 L min−1, the PiCO2 significantly increased and the system was unable to maintain the target CPAP of 10 and 15 cmH2O and a stable pressure within the respiratory cycle; conversely, the turbine-driven ventilator did. EAdi significantly increased with flow rates of 40 and 80 L min−1 but not at 120 L min−1 and with the turbine-driven ventilator. EB mask can be safely used to deliver CPAP only under strict constraints, using either a high-flow generator at a flow rate greater than 80 L min−1, or a high-performance turbine-driven ventilator.
format	article
author	Alberto Noto Claudia Crimi Andrea Cortegiani Massimiliano Giardina Filippo Benedetto Pietro Princi Annalisa Carlucci Lorenzo Appendini Cesare Gregoretti
author_facet	Alberto Noto Claudia Crimi Andrea Cortegiani Massimiliano Giardina Filippo Benedetto Pietro Princi Annalisa Carlucci Lorenzo Appendini Cesare Gregoretti
author_sort	Alberto Noto
title	Performance of EasyBreath Decathlon Snorkeling mask for delivering continuous positive airway pressure
title_short	Performance of EasyBreath Decathlon Snorkeling mask for delivering continuous positive airway pressure
title_full	Performance of EasyBreath Decathlon Snorkeling mask for delivering continuous positive airway pressure
title_fullStr	Performance of EasyBreath Decathlon Snorkeling mask for delivering continuous positive airway pressure
title_full_unstemmed	Performance of EasyBreath Decathlon Snorkeling mask for delivering continuous positive airway pressure
title_sort	performance of easybreath decathlon snorkeling mask for delivering continuous positive airway pressure
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/6f0ef7a828734a098057b24845cffd5a
work_keys_str_mv	AT albertonoto performanceofeasybreathdecathlonsnorkelingmaskfordeliveringcontinuouspositiveairwaypressure AT claudiacrimi performanceofeasybreathdecathlonsnorkelingmaskfordeliveringcontinuouspositiveairwaypressure AT andreacortegiani performanceofeasybreathdecathlonsnorkelingmaskfordeliveringcontinuouspositiveairwaypressure AT massimilianogiardina performanceofeasybreathdecathlonsnorkelingmaskfordeliveringcontinuouspositiveairwaypressure AT filippobenedetto performanceofeasybreathdecathlonsnorkelingmaskfordeliveringcontinuouspositiveairwaypressure AT pietroprinci performanceofeasybreathdecathlonsnorkelingmaskfordeliveringcontinuouspositiveairwaypressure AT annalisacarlucci performanceofeasybreathdecathlonsnorkelingmaskfordeliveringcontinuouspositiveairwaypressure AT lorenzoappendini performanceofeasybreathdecathlonsnorkelingmaskfordeliveringcontinuouspositiveairwaypressure AT cesaregregoretti performanceofeasybreathdecathlonsnorkelingmaskfordeliveringcontinuouspositiveairwaypressure
_version_	1718385515213881344

Performance of EasyBreath Decathlon Snorkeling mask for delivering continuous positive airway pressure

Ejemplares similares