Bench tests of simple, handy ventilators for pandemics: performance, autonomy, and ergonomy

Respir Care. 2011 Jun;56(6):751-60. doi: 10.4187/respcare.00841. Epub 2011 Feb 11.

Abstract

Background: It has been pointed out that in the wake of a virulent flu strain, patients with survivable illness will die from lack of resources unless more ventilators are made available. Numerous disaster-type ventilators are available, but few evaluations have been performed.

Objective: To compare simple, lightweight, and handy ventilators that could be used in the initial care of patients with respiratory distress.

Methods: We bench-tested 4 volume-cycled ventilators (Carevent ALS, EPV100, Pneupac VR1, and Medumat Easy) and 2 pressure-cycled ventilators (Oxylator EMX and VAR-Plus). We studied their general physical characteristics, sonometry, gas consumption, technical performance, ergonomy, and user-friendliness. With a test lung we assessed performance at F(IO(2)) of 0.50 and 1.0, set compliance of 30, 70, and 120 mL/cm H(2)O, and set resistance of 5, 10, and 20 cm H(2)O/L/s. To study user-friendliness and ergonomy we conducted, in randomized order, 7 or 8 objective, quantitative tests and 2 subjective tests.

Results: Compliance and resistance strongly affected tidal volume with the pressure-cycled ventilators (from 418 ± 49 mL to 1,377 ± 444 mL with the VAR-Plus, at the lowest pressure level), whereas the volume-cycled ventilators provided a consistent tidal volume in the face of changing test lung characteristics.

Conclusions: We are concerned that the pressure-cycled ventilators did not provide a consistent tidal volume, and under certain conditions the volume delivered would be unsafe (too large or too small). Most of the volume-cycled ventilators proved to be technically efficient and reliable. Their reliability, portability, and ease of use could make them valuable in natural disasters and mass-casualty events.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Equipment Design
  • Equipment Failure Analysis
  • Ergonomics*
  • Humans
  • Influenza, Human / epidemiology*
  • Influenza, Human / physiopathology*
  • Mass Casualty Incidents*
  • Pandemics*
  • Statistics, Nonparametric
  • Ventilators, Mechanical / standards*