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Möller, W. ; Celik, G. ; Feng, S.* ; Bartenstein, P.* ; Meyer, G.* ; Eickelberg, O. ; Schmid, O. ; Tatkov, S.*

Nasal high flow clears anatomical dead space in upper airway models.

J. Appl. Physiol. 118, 1525-1532 (2015)
Verlagsversion Postprint DOI PMC
Open Access Green
Recent studies showed that Nasal High Flow (NHF) with or without supplemental oxygen can assist ventilation of patients with chronic respiratory and sleep disorders. The hypothesis of this study was to test whether NHF can clear dead-space in two different models of the upper nasal airways. The first was a simple tube model consisting of a nozzle to simulate the nasal valve area, connected to a cylindrical tube to simulate the nasal cavity. The second was a more complex anatomically representative upper airway model, constructed from segmented CT-scan images of a healthy volunteer. After filling the models with tracer-gases, NHF was delivered at rates of 15, 30 and 45 L/min. The tracer gas clearance was determined using dynamic infrared CO2 spectroscopy and (81m)Kr-gas radioactive gamma camera imaging. There was a similar tracer-gas clearance characteristic in the tube model and the upper airway model: clearance half-times were below 1.0 s and decreased with increasing NHF rates. For both models, the anterior compartments demonstrated faster clearance levels (half-times < 0.5 s) and the posterior sections showed slower clearance (half-times < 1.0 s). Both imaging methods showed similar flow-dependent tracer-gas clearance in the models. For the anatomically-based model, there was complete tracer-gas removal from the nasal cavities within 1.0 s. The level of clearance in the nasal cavities increased by 1.8 mL/s for every 1.0 L/min increase in the rate of NHF. The study has demonstrated the fast-occurring clearance of nasal cavities by NHF therapy, which is capable of reducing of dead-space re-breathing.
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Publikationstyp Artikel: Journalartikel
Dokumenttyp Wissenschaftlicher Artikel
Schlagwörter Carbon Dioxide ; Dead-space Clearance ; Insufflation ; Nasal High Flow ; Upper Airways; Obstructive Sleep-apnea; Respiratory-failure; Oxygen-therapy; Cannula; Ventilation; Insufflation; Children; Infants; Disease; Humans
ISSN (print) / ISBN 8750-7587
e-ISSN 1522-1601
Zeitschrift Journal of Applied Physiology
Quellenangaben Band: 118, Heft: 12, Seiten: 1525-1532 Artikelnummer: , Supplement: ,
Verlag American Physiological Society
Verlagsort Bethesda
Begutachtungsstatus