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Humidification

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Humidification

DEFINITON
Humidifcation is the process by which the inspired
air is getting moistened by either the natural
mechanisms present in the respiratory tract or by
the artificial method used in the hospitals.
Here the excessive heat of the air is removed and
moisture of the air also controlled.
When natural process of humidification fails,
artificial humidification is used

METHOD OF ARTIFICIAL
HUMIDIFICATION
A FREE BREATHING PATIENT WHO IS NOT INTUBATED
1) A face mask
2) A mouth piece
These methods are used along with nebuliser as a short period of
humidification prior to chest clearance
A FREE BREATHING PATIENT WITH A TRACHEOSTOMY TUBE
1) T tube ( Brompton tube)
2) Tracheostomy mask

A PATIENT ON INTERMITTENT POSITIVE PRESSURE


VENTILATION (IPPV)
Usually humidifier incorporated in to the ventilator.
Majority of the humidifier used are heated
The ideal temperature used at the entrance of the ET or
Tracheostomy tube is 34 plus/minus 2o Celsius

TYPES OF HUMIDIFIER
Boys and Howells
conservers of water.

classified humidifiers in to suppliers and

SUPPLIERS: Four types


AMBIENT TEMPERATURE VAPOUR SUPPLIERS: gas is bubbled
through room temperature water, very fine sieve is used to obtain tiny
bubbles.
HEATED VAPOUR SUPPLIERS: gas is passed across through hot
water, or dripped onto a very hot plate; patient tubing may be lagged
or Fischer Paykell device used to prevent temperature loss and rain
out.
Capable of giving at over 390 C to the patient end, so caution to be
taken not to burn the patient, safety feed back cut-off mechanism from
a thermometer can be used.

AMBIENT AEROSOL SUPPLIERS: uses mist of liquid


water, by high pressure gas jet (Bernouili principle), by
high speed spinning disc, by ultrasonic vibrating crystal.
Over loading of mist may occur.
A recently available method uses Babington principle,
air forced through a fine film of water, produces dense
mist.
HEATED AEROSOL SUPPLIERS: water nebulised is
heated Bernouilli type of device are used for heating or
hot rod used. Thermal safety again needed.
Installation: water may be directly added to the airway
by direct instillation from a syringe, drip set or pump.

CONSERVERS:
These heat and moisture exchangers or
condenser-humidifiers, trap expired heat and
water in a mesh, and return it to fresh inspired
gas.
They can be reasonably efficient but are prone to
blockage by secretions.

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