Adjustable breathing resistance for laryngectomized patients: Proof of principle in a novel heat and moisture exchanger cassette

Maartje Leemans; Sara H. Muller; Maarten J.A. van Alphen; Wim Vallenduuk; Richard Dirven; Michiel W.M. van den Brekel

doi:10.1002/hed.26571

Adjustable breathing resistance for laryngectomized patients: Proof of principle in a novel heat and moisture exchanger cassette

Maartje Leemans, Sara H. Muller, Maarten J.A. van Alphen, Wim Vallenduuk, Richard Dirven, Michiel W.M. van den Brekel

Maxillofacial Surgery (AMC)

Research output: Contribution to Journal › Article › Academic › peer-review

Abstract

Background: Due to the heat and moisture exchanger's (HME) breathing resistance, laryngectomized patients cannot always use an (optimal) HME during physical exercise. We propose a novel HME cassette concept with adjustable “bypass,” to provide adjustment between different breathing resistances within one device. Methods: Under standardized conditions, the resistance and humidification performance of a high resistance/high humidification HME (XM) foam in a cassette with and without bypass were compared to a lower resistance/lesser humidification HME (XF) foam in a closed cassette. Results: With a bypass in the cassette, the resistance and humidification performance of XM foam were similar to those of XF foam in the closed cassette. Compared to XM foam in the closed cassette, introducing the bypass resulted in a 40% resistance decrease, whereas humidification performance was maintained at 80% of the original value. Conclusions: This HME cassette prototype allows adjustment between substantially different resistances while maintaining appropriate humidification performances.

Original language	English
Pages (from-to)	1073-1087
Number of pages	15
Journal	Head and Neck
Volume	43
Issue number	4
DOIs	https://doi.org/10.1002/hed.26571
Publication status	Published - Apr 2021

Funding

We would like to thank Atos Medical AB (Malmö, Sweden) for providing the HMEs to The Netherlands Cancer Institute – Antoni van Leeuwenhoek. Also, we would like to thank the Verwelius 3D lab of The Netherlands Cancer Institute for making the 3D-printing of the HME cassettes possible. The Netherlands Cancer Institute's Department of Head and Neck Oncology and Surgery receives a research grant from Atos Medical AB (Malmö, Sweden), which contributes to the existing infrastructure for quality of life research of the Department of Head and Neck Oncology and Surgery.

Funders	Funder number
Antoni van Leeuwenhoek
Atos Medical AB
Netherlands Cancer Institute
Netherlands Cancer Institute's Department of Head
Verwelius 3D lab of The Netherlands Cancer Institute

Access to Document

10.1002/hed.26571

Persistent URL (handle)

Persistent link

Cite this

@article{3399110f2f474d16b30b5c836401cde1,

title = "Adjustable breathing resistance for laryngectomized patients: Proof of principle in a novel heat and moisture exchanger cassette",

abstract = "Background: Due to the heat and moisture exchanger's (HME) breathing resistance, laryngectomized patients cannot always use an (optimal) HME during physical exercise. We propose a novel HME cassette concept with adjustable “bypass,” to provide adjustment between different breathing resistances within one device. Methods: Under standardized conditions, the resistance and humidification performance of a high resistance/high humidification HME (XM) foam in a cassette with and without bypass were compared to a lower resistance/lesser humidification HME (XF) foam in a closed cassette. Results: With a bypass in the cassette, the resistance and humidification performance of XM foam were similar to those of XF foam in the closed cassette. Compared to XM foam in the closed cassette, introducing the bypass resulted in a 40% resistance decrease, whereas humidification performance was maintained at 80% of the original value. Conclusions: This HME cassette prototype allows adjustment between substantially different resistances while maintaining appropriate humidification performances.",

author = "Maartje Leemans and Muller, {Sara H.} and {van Alphen}, {Maarten J.A.} and Wim Vallenduuk and Richard Dirven and {van den Brekel}, {Michiel W.M.}",

year = "2021",

month = apr,

doi = "10.1002/hed.26571",

language = "English",

volume = "43",

pages = "1073--1087",

journal = "Head and Neck",

issn = "1043-3074",

publisher = "John Wiley & Sons Inc.",

number = "4",

}

TY - JOUR

T1 - Adjustable breathing resistance for laryngectomized patients: Proof of principle in a novel heat and moisture exchanger cassette

AU - Leemans, Maartje

AU - Muller, Sara H.

AU - van Alphen, Maarten J.A.

AU - Vallenduuk, Wim

AU - Dirven, Richard

AU - van den Brekel, Michiel W.M.

PY - 2021/4

Y1 - 2021/4

N2 - Background: Due to the heat and moisture exchanger's (HME) breathing resistance, laryngectomized patients cannot always use an (optimal) HME during physical exercise. We propose a novel HME cassette concept with adjustable “bypass,” to provide adjustment between different breathing resistances within one device. Methods: Under standardized conditions, the resistance and humidification performance of a high resistance/high humidification HME (XM) foam in a cassette with and without bypass were compared to a lower resistance/lesser humidification HME (XF) foam in a closed cassette. Results: With a bypass in the cassette, the resistance and humidification performance of XM foam were similar to those of XF foam in the closed cassette. Compared to XM foam in the closed cassette, introducing the bypass resulted in a 40% resistance decrease, whereas humidification performance was maintained at 80% of the original value. Conclusions: This HME cassette prototype allows adjustment between substantially different resistances while maintaining appropriate humidification performances.

AB - Background: Due to the heat and moisture exchanger's (HME) breathing resistance, laryngectomized patients cannot always use an (optimal) HME during physical exercise. We propose a novel HME cassette concept with adjustable “bypass,” to provide adjustment between different breathing resistances within one device. Methods: Under standardized conditions, the resistance and humidification performance of a high resistance/high humidification HME (XM) foam in a cassette with and without bypass were compared to a lower resistance/lesser humidification HME (XF) foam in a closed cassette. Results: With a bypass in the cassette, the resistance and humidification performance of XM foam were similar to those of XF foam in the closed cassette. Compared to XM foam in the closed cassette, introducing the bypass resulted in a 40% resistance decrease, whereas humidification performance was maintained at 80% of the original value. Conclusions: This HME cassette prototype allows adjustment between substantially different resistances while maintaining appropriate humidification performances.

U2 - 10.1002/hed.26571

DO - 10.1002/hed.26571

M3 - Article

C2 - 33615610

SN - 1043-3074

VL - 43

SP - 1073

EP - 1087

JO - Head and Neck

JF - Head and Neck

IS - 4

ER -

Adjustable breathing resistance for laryngectomized patients: Proof of principle in a novel heat and moisture exchanger cassette

Abstract

Funding

Access to Document

Persistent URL (handle)

Fingerprint

Cite this