Why would you put an HME in line when you already have a humidifier? You're setting the patient up for increased work of breathing when the moisture from the humidifier gets trapped in the HME. Just a thought...
I need to warn you. If you do not have a heated wire circuit, and you use a conventional pass over humidifier WITHOUT a heated wire, PREPARE to get SISC/SENSE ALARMS, and get autocycling. You're going to get water trapped in the exhalation valve, and that's going to upset the whole valve, you will get alarms, and then it's going to be a royal pain getting those to stop. By the time you get the humidity low enough to actually not cause this, your patient is NOT going to have an actual ACCEPTABLE amount of humidity. You're going to have tracheostomy secretions that are EXTREMELY thick, and you're going to have bleeding from the irritation. TRUST ME. I have a trach, I have an LTV 1150 and have a humidifier that doesn't have a heated wire. I have VERY THOROUGH EXPERIENCE WITH THIS ISSUE. My company doesn't stock heated wires, much less the humidifiers with the Heated wire. I tried to get that solved, but LOST the battle. So, what did I do? I said, "FORGET IT!!" LOL So I use an HME to get a little bit more humidity, but that's A LITTLE BIT MORE. I'm still bleeding from my tracheostomy tube, and yeah, I'm frustrated, but there's nothing that can be done, so I said? What? "FORGET IT!" It's a lost cause.
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Why would you put an HME in line when you already have a humidifier? You're setting the patient up for increased work of breathing when the moisture from the humidifier gets trapped in the HME. Just a thought...
I need to warn you. If you do not have a heated wire circuit, and you use a conventional pass over humidifier WITHOUT a heated wire, PREPARE to get SISC/SENSE ALARMS, and get autocycling. You're going to get water trapped in the exhalation valve, and that's going to upset the whole valve, you will get alarms, and then it's going to be a royal pain getting those to stop. By the time you get the humidity low enough to actually not cause this, your patient is NOT going to have an actual ACCEPTABLE amount of humidity. You're going to have tracheostomy secretions that are EXTREMELY thick, and you're going to have bleeding from the irritation. TRUST ME. I have a trach, I have an LTV 1150 and have a humidifier that doesn't have a heated wire. I have VERY THOROUGH EXPERIENCE WITH THIS ISSUE. My company doesn't stock heated wires, much less the humidifiers with the Heated wire. I tried to get that solved, but LOST the battle. So, what did I do? I said, "FORGET IT!!" LOL So I use an HME to get a little bit more humidity, but that's A LITTLE BIT MORE. I'm still bleeding from my tracheostomy tube, and yeah, I'm frustrated, but there's nothing that can be done, so I said? What? "FORGET IT!" It's a lost cause.
Peter Foster I just lost hope of having any sleep in the night after reading your comment
Such a cute ventilator!!!!!! I love ventilators!!!!
apparently 16, there is no HME on this circuit.