Randomized crossover trial of a pressure sensing visual feedback system to improve mask fitting in noninvasive ventilation

Respirology : Official Journal of the Asian Pacific Society of Respirology
Anne-Kathrin BrillAnita K Simonds

Abstract

A good mask fit, avoiding air leaks and pressure effects on the skin are key elements for a successful noninvasive ventilation (NIV). However, delivering practical training for NIV is challenging, and it takes time to build experience and competency. This study investigated whether a pressure sensing system with real-time visual feedback improved mask fitting. During an NIV training session, 30 healthcare professionals (14 trained in mask fitting and 16 untrained) performed two mask fittings on the same healthy volunteer in a randomized order: one using standard mask-fitting procedures and one with additional visual feedback on mask pressure on the nasal bridge. Participants were required to achieve a mask fit with low mask pressure and minimal air leak (<10 L/min). Pressure exerted on the nasal bridge, perceived comfort of mask fit and staff- confidence were measured. Compared with standard mask fitting, a lower pressure was exerted on the nasal bridge using the feedback system (71.1 ± 17.6 mm Hg vs 63.2 ± 14.6 mm Hg, P < 0.001). Both untrained and trained healthcare professionals were able to reduce the pressure on the nasal bridge (74.5 ± 21.2 mm Hg vs 66.1 ± 17.4 mm Hg, P = 0.023 and 67 ± 12.1 mm Hg vs 60 ± 10.6 mm Hg, P = ...Continue Reading

References

Jun 1, 1995·American Journal of Respiratory and Critical Care Medicine·N KramerN S Hill
Jul 13, 2000·Critical Care Medicine·L Brochard
Nov 5, 2002·The European Respiratory Journal·B Schönhofer, S Sortor-Leger
Aug 2, 2003·Journal of Biomechanics·Iain A AndersonW R Walsh
Mar 3, 2005·Journal of Wound Care·D Thompson
Jun 1, 2005·Intensive Care Medicine·Brigitte FaurouxMarie-Paule Vazquez
Jan 10, 2008·Journal of General Internal Medicine·Ross J ScaleseS Barry Issenberg
Jan 22, 2009·Journal of Biomechanical Engineering·Jill M BrimacombeCarolyn Anglin
Jan 16, 2010·The European Respiratory Journal·C CrimiS Nava
Jul 27, 2011·IEEE Transactions on Visualization and Computer Graphics·Aaron KotranzaBenjamin Lok
Jan 15, 2014·Journal of Surgical Education·Tim HoremanJohn J van den Dobbelsteen
Feb 8, 2014·Intensive Care Medicine·David SchnellElie Azoulay
May 3, 2014·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·Peter GriffinThomas E Terndrup
Jan 15, 2015·Respiratory Care·Louise RoseUNKNOWN CANuVENT Group
Jan 23, 2015·Jornal brasileiro de pneumologia : publicaça̋o oficial da Sociedade Brasileira de Pneumologia e Tisilogia·Luana Souto BarrosRenato Natal-Jorge
Jul 3, 2015·American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses·Marilyn SchallomMarin Kollef
Dec 31, 2015·Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine·Soleil D RobertsMaida L Chen

❮ Previous
Next ❯

Citations

Feb 23, 2018·Respirology : Official Journal of the Asian Pacific Society of Respirology·Amanda J PiperVasileios Kouranos
Apr 11, 2018·ERJ Open Research·Anne-Kathrin BrillAnita K Simonds
Sep 3, 2019·Nursing Standard·Hannah Liversedge
Feb 19, 2020·Journal of Wound Care·Amit GefenPeter Worsley
Sep 25, 2020·PloS One·Marc A MasenRavi Vaidyanathan
Jun 15, 2017·Respirology : Official Journal of the Asian Pacific Society of Respirology·Antonello NicoliniMaurizio A Cavalleri
Nov 27, 2020·Computer Methods in Biomechanics and Biomedical Engineering·J W R VerberneD L Bader
Jun 4, 2021·Scientific Reports·Kian Kun YapMarc Arthur Masen
Aug 12, 2021·Scientific Reports·Rikeen D JobanputraMarc A Masen
Sep 17, 2021·Computer Methods in Biomechanics and Biomedical Engineering·Francesco GennaFabio Savoldi

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.