Title
Biological evaluation of a mechanical ventilator that operates by controlling an automated manual resuscitator. A descriptive study in swine
Date Issued
01 March 2022
Access level
open access
Resource Type
journal article
Author(s)
Carazas M.M.G.
Fernandez R.D.
Zuñiga J.A.V.
Paiva A.C.
Bocanegra W.
Calderon J.
Sanchez E.
Perales R.
Zeña B.
Isique J.F.C.
Reategui J.
Publisher(s)
Public Library of Science
Abstract
The Covid-19 outbreak challenged health systems around the world to design and implement cost-effective devices produced locally to meet the increased demand of mechanical ventilators worldwide. This study evaluates the physiological responses of healthy swine maintained under volume- or pressure-controlled mechanical ventilation by a mechanical ventilator implemented to bring life-support by automating a resuscitation bag and closely controlling ventilatory parameters. Physiological parameters were monitored in eight sedated animals (t0) prior to inducing deep anaesthesia, and during the next six hours of mechanical ventilation (t1-7). Hemodynamic conditions were monitored periodically using a portable gas analyser machine (i.e. BEecf, carbonate, SaO2, lactate, pH, PaO2, PaCO2) and a capnometer (i.e. ETCO2). Electrocardiogram, echocardiography and lung ultrasonography were performed to detect in vivo alterations in these vital organs and pathological findings from necropsy were reported. The mechanical ventilator properly controlled physiological levels of blood biochemistry such as oxygenation parameters (PaO2, PaCO2, SaO2, ETCO2), acid-base equilibrium (pH, carbonate, BEecf), and perfusion of tissues (lactate levels). In addition, histopathological analysis showed no evidence of acute tissue damage in lung, heart, liver, kidney, or brain. All animals were able to breathe spontaneously after undergoing mechanical ventilation. These preclinical data, supports the biological safety of the medical device to move forward to further evaluation in clinical studies.
Volume
17
Issue
3 March
Language
English
OCDE Knowledge area
Ingeniería médica
Ingeniería eléctrica, Ingeniería electrónica
Scopus EID
2-s2.0-85125691629
PubMed ID
Source
PLoS ONE
ISSN of the container
19326203
Sources of information:
Directorio de Producción Científica
Scopus