key: cord-0043293-e4x9uy2q
authors: Rodríguez-Villar, Sancho
title: Sharing a single ventilator (“in vitro”)
date: 2020-05-11
journal: Med Intensiva
DOI: 10.1016/j.medin.2020.04.021
sha: b8e6b0ce872e43a346f830ecba72ea1cd631b0b6
doc_id: 43293
cord_uid: e4x9uy2q

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. Finally, an heat and moisture exchanger (HME) filter was placed for each patient to provide heating and humidification. Figure 2 .

One of the clear advantages with pressure-control ventilation, it is that in the case of a change in the respiratory mechanics of one patient, the second is not affected and there is less dependence on ideal body weight, sex and the compliances of the lung . Also, with a flow/pressure sensor to measure the expiratory tidal volume (VTe) and the inspiratory pressure, and capnography placed at least in one patient, the monitoring and safety increase considerably . Other variants with extra features and potential better improvements have been also released recently by colleagues around the world, but we must declare that we have not tested these variations in our laboratory .

We are aware that there are no available randomised control studies to support this approach with full guarantees, however, in our current times where the professional is taking ethical decisions extremely difficult it may be considered as a good alternative as "compassionate treatment" or as a "bridge" for the time being.

A single ventilator for multiple simulated patients to meet disaster surge

Increasing ventilator surge capacity in disasters: ventilation of four adult-human-sized sheep on a single ventilator with a modified circuit

Use of a single ventilator to support 4 patients: laboratory evaluation of a limited concept

A single ventilator for multiple simulated patients to meet disaster surge

Use of a single ventilator to support 4 patients: laboratory evaluation of a limited concept

American Association of Critical-Care Nurses (AACN), and American College of Chest Physicians (CHEST) issue this consensus statement on the concept of placing multiple patients on a single mechanical ventilator

Public Health Service to Optimize Provision of Mechanical Ventilation. Point number 8 of the document