Blackwell Publishing Journal Backfiles 1879-2005
In this controlled, randomised cross-over trial on 26 intensive care patients, we compared the effects on haemodynamic and respiratory profiles of continuous positive airway pressure delivered through the Hamilton Galileo ventilator or a Dräger CF 800 device. We also compared the nursing time saved using the two approaches when weaning patients from mechanical ventilation. We did not find significant differences in haemodynamics, respiratory rate, physiological dead space, oxygen saturation and carbon dioxide production between the continuous positive airway pressure generated by the Galileo and Dräger machines. However, there was a 10-fold reduction in nursing time using the Galileo ventilator compared with the Dräger generator. We conclude that continuous positive airway pressure delivered through the Galileo ventilator is as efficient as a Dräger device but consumes less nursing time.
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