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10.1016/j.ajem.2020.06.089

http://scihub22266oqcxt.onion/10.1016/j.ajem.2020.06.089
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C7351030!7351030!33142172
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suck abstract from ncbi


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pmid33142172      Am+J+Emerg+Med 2020 ; 38 (10): 2045-8
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  • A novel inline PEEP valve design for differential multi-ventilation #MMPMID33142172
  • Bunting L; Roy S; Pinson H; Greensweig T
  • Am J Emerg Med 2020[Oct]; 38 (10): 2045-8 PMID33142172show ga
  • Background: Ventilator sharing is one option to emergently increase ventilator capacity during a crisis but has been criticized for its inability to adjust for individual patient needs. Newer ventilator sharing designs use valves and restrictors to control pressures for each patient. A key component of these designs is an inline Positive End Expiratory Pressure (PEEP) Valve but these are not readily available. Creating an inline PEEP valve by converting a standard bag-valve-mask PEEP valve is possible with the addition of a 3D printed collar. Methods: This was a feasibility study assessing the performance and safety of a method for converting a standard PEEP valve into an inline PEEP valve. A collar was designed and printed that covers the exhaust ports of the valve and returns exhaled gases to the ventilator. Results: The collar piece was simple to print and easily assembled with the standard PEEP valve. In bench testing it successfully created differential pressures in 2 simulated expiratory limbs without leaking to the atmosphere at pressures greater than 60 cm of H2O. Conclusion: Our novel inline PEEP valve design shows promise as an option for building a safer ventilator sharing system.
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