Guest Alexey Mostovoy Posted February 10, 2008 Share Posted February 10, 2008 Dear All! I would like to know your opinion about choice of HF ventilator for NICU. I interesting what is difference between Inspiratory time in SLE and SM 3100. Do the long Inspiratory time (SLE 5000 - I:T=1:1) influence to risk of airleek syndrome in neonates or not? Have you some comparision SLE 5000 vs. SensorMedics 3100A? Papers? Links? Link to comment Share on other sites More sharing options...
Guest jminski Posted February 11, 2008 Share Posted February 11, 2008 I would like to add to the question about differnt types of Oscillators used clinically, My qusetion is on the Babylog HFOV mode , this mode also has a fixed I:E ratio of about 1 : 1.2 ( I believe), I :E ratios in old papers of 1:1 showed concerning out comes ( airleaks , IVH) is any one concerned who uses these ocillators have any concerns about the I:E ratio , and is there any positive papers out there on any HFO device other than the Sensormedics( 1:2 ratio)? Link to comment Share on other sites More sharing options...
manberbenitez Posted February 12, 2008 Share Posted February 12, 2008 Dear Alexey: We dont have any experience with the use of the SLE 5000. we use the 3100A, and with respect of the IT, the percentage of 33% give you a relation I:E of 1:2 for3 to 15 hertz. The percent of IT should never increased because it will lead to air trapping and fulminant barotrauma. Total IT should only be increased by decreasing frequency, thus leaving the I:E ratio constant I:T can be decreased to 30% to heal airleaks. Hope this help you Manuel Bernal Benitez Centenario Hospital Miguel Hidalgo Aguascalientes Mexico Head neonatologist Manberbenitez@yahoo.com.mx Link to comment Share on other sites More sharing options...
Stefan Johansson Posted February 13, 2008 Share Posted February 13, 2008 Here's a good clinical protocol for the SensorMedics, from the Children's Hospital, Univ of Iowa: http://www.uihealthcare.com/depts/med/pediatrics/iowaneonatologyhandbook/pulmonary/practicalaspectsof.html Actually, the rest of their web based handbook is worth exploring! http://www.uihealthcare.com/depts/med/pediatrics/iowaneonatologyhandbook/index.html Link to comment Share on other sites More sharing options...
Guest Alexey Mostovoy Posted February 14, 2008 Share Posted February 14, 2008 Dear Manuel! We are use Sensor Medics 3100A more than ten years in my NICU. I am absolutly agree whith you. But I'll try find real evidence that increasing inspiratory time can lead to air trapping and barotruma. Unfortunately, I have limit to many papers where possible to see comparison these two modes (types) of HF ventilation :-( Certainly, I know these protocols and we use similar in our practice. I want meet some studies where is evidenses of advantages SM3100A vs SLE5000. Link to comment Share on other sites More sharing options...
gabriel59 Posted June 9, 2009 Share Posted June 9, 2009 Although late, please find attached 2 relevant papers Gabriel Dimitriou, MD, PhD (University of London, UK) Associate Professor in Paediatrics-Neonatology Neonatal Intensive Care Unit, 3rd floor, University General Hospital of Patras RIO 26504 PATRAS GREECE email: gdimitriou@med.upatras.grIE ratio on HFO.pdfCompatison HFOV.pdf Link to comment Share on other sites More sharing options...
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