Monitoring of Heated Wire Humidifier Hygrometric Performances With Heater Plate Temperature. 2022

François Lellouche, and Serge Simard, and Pierre-Alexandre Bouchard
Centre de Recherche de l'Institut Universitaire de Cardiologie et de Pneumologie de Québec, Québec, Québec, Canada. francois.lellouche@criucpq.ulaval.ca.

Under-humidification and associated complications may occur with heated humidifiers. Hygrometric performances of heated wire humidifiers are reduced by high ambient and high outlet ventilator temperatures. Currently, there is no reliable monitoring tool to evaluate humidification performances of heated wire humidifiers in the daily practice. We sought to demonstrate the relation between humidity delivered by heated wire humidifiers and different parameters that could be used to monitor humidity of gas delivered to subjects. On a bench test, we measured heater plate temperature, inlet chamber temperature, and delivered humidity with MR850 system. Temperature displayed on the humidifier was also recorded. The measurements were performed at different ambient temperatures and five minute ventilation levels (5, 7.5, 10, 12.5, 15 L/min). Inlet chamber temperatures varied from 20-40°C. In each condition, hygrometric measurements with the psychrometric method were performed at steady state. We performed 279 measurements at steady state including all conditions. We found a good correlation between heater plate temperature and absolute humidity delivered (R2 = 0.82). This relationship was hardly affected by ambient temperature, but minute ventilation had more effect. For different minute ventilations, the correlation between heater plate temperature and absolute humidity delivered was very good with coefficient of determination R2 from 0.87-0.98. Heater plate temperature > 62°C was a good predictor of absolute humidity delivered > 30 mg H2O/L (area under the curve = 0.96, sensibility 79%, specificity 94%). No correlation existed between humidity delivered and the outlet chamber temperature (displayed on the humidifier). In this bench study, we have shown a good correlation between heater plate temperature and humidity delivered with a heated wire humidifier. This means that a "hidden" hygrometer is built into the heated wire humidifier. Heater plate temperature should be used as a surrogate of humidity to improve the humidification monitoring.

UI MeSH Term Description Entries
D012122 Ventilators, Mechanical Mechanical devices used to produce or assist pulmonary ventilation. Mechanical Ventilator,Mechanical Ventilators,Respirators,Ventilators, Pulmonary,Pulmonary Ventilator,Pulmonary Ventilators,Ventilator, Pulmonary,Ventilators,Respirator,Ventilator,Ventilator, Mechanical
D006358 Hot Temperature Presence of warmth or heat or a temperature notably higher than an accustomed norm. Heat,Hot Temperatures,Temperature, Hot,Temperatures, Hot
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D006813 Humidity A measure of the amount of WATER VAPOR in the air. Humidities
D000068998 Humidifiers Machines that add moisture to the air. Humidifier
D013696 Temperature The property of objects that determines the direction of heat flow when they are placed in direct thermal contact. The temperature is the energy of microscopic motions (vibrational and translational) of the particles of atoms. Temperatures

Related Publications

François Lellouche, and Serge Simard, and Pierre-Alexandre Bouchard
July 2009, Korean journal of anesthesiology,
François Lellouche, and Serge Simard, and Pierre-Alexandre Bouchard
July 1985, Southern medical journal,
François Lellouche, and Serge Simard, and Pierre-Alexandre Bouchard
January 1989, Soins. Chirurgie (Paris, France : 1982),
François Lellouche, and Serge Simard, and Pierre-Alexandre Bouchard
November 1983, Masui. The Japanese journal of anesthesiology,
François Lellouche, and Serge Simard, and Pierre-Alexandre Bouchard
March 2024, Respiratory care,
François Lellouche, and Serge Simard, and Pierre-Alexandre Bouchard
February 2003, Anaesthesia and intensive care,
François Lellouche, and Serge Simard, and Pierre-Alexandre Bouchard
January 1991, Health devices,
François Lellouche, and Serge Simard, and Pierre-Alexandre Bouchard
February 1995, Anaesthesia and intensive care,
François Lellouche, and Serge Simard, and Pierre-Alexandre Bouchard
March 2009, Pediatric pulmonology,
François Lellouche, and Serge Simard, and Pierre-Alexandre Bouchard
January 1979, Anesthesia and analgesia,
Copied contents to your clipboard!