Any one use ventilators? can i ask you a question please?

[dissle]

We have come across HME's to replace wet circuits.

Has any one changed over to these and if so what is your experiences?

Good/bad i would like a bit of info before going looking for the research etc.

Should i save myself the bother, its just that they sound fab in the reduction of VAP, rainout and nursing time in the setting up as they are just so simple in comparrison to the wet circuits.

Thanks.

Dissle

[dissle]

Blueheaven, what pageresiratory says is fair comment. HME,s ARE contraindicated for use for more than 24 hours and in patients with copious secretions.

What about patients with pneumonia's who have thick sticky secretions, how are these mobilised with inadequate heat moisture exchange?

If a patient blocked off, and this is common knowledge how do you stand legally?

Perhaps you should question the powers that be about this policy.

However i do understand what you are saying about being given the equipment and having to use it. This is not an excuse in England, unfortunately i would loose my "licence" as you call it without a shadow of a doubt. My hospital would face litigation also.