F&P Optiflow™+ 
Tracheostomy
Interface


Improving care for tracheostomy patients

 
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Optiflow+ Tracheostomy interface features

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1.
Evaqua™ technology, which reduces the formation of mobile condensate in the patient interface
2.
Connects to our AirSpiral breathing tube for 93% less condensate*
 
 
3.
Re-designed sputum guard, also available as a spare part

*compared with F&P AIRVOTM 900PT501 breathing tube in internal Fisher & Paykel Healthcare testing.

Why use Humidifed High Flow therapy for Tracheostomy patients?

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What is physiological humidity? 
  • Under normal circumstances the upper airway functions to ensure that inhaled air reaches the lungs at body temperature (37 °C) and close to 100 % relative humidity1.
  • Bypassing these warming and humidifying functions in tracheostomised patients allows cooler, dryer gases to be delivered to the carina than would normally occur.
  • Within the literature, values for absolute humidity in tracheostomised patients vary between 17 and 44 mgh2O/L and tracheal temperature values range from 32 to 37 °C.2 However, the level of acceptable humidity remains the subject of some debate.3
Humidified high flow for tracheostomies? 
Humidified high flow therapy has been shown to:
  • Improve work of breathing (WOB) in acute care and decrease adverse clinical events in chronic care in a study of children with tracheostomies compared to a passive HME7
  •  Assist ventilation in a study of patients with chronic respiratory failure carrying a trans-tracheal catheter for long-term oxygen therapy compared to low-flow oxygen therapy8
  • Provide higher humidification levels in a bench study compared to both active and passive HMEs, leading to the recommendation of using humidified high flow in patients who require supplemental oxygen or those with high tidal volumes9
 
What are the effects of sub-optimal humidity on tracheostomy patients? 
  • Heat and moisture loss from mucociliary epithelium, which can lead to permanent loss of ciliated epithelium4
  • Reduced mucociliary clearance leading to retention of secretions5
  • Drying or thickening of secretions5
  • Pulmonary infection6
  • Obstruction or occlusion of the airway or tracheostomy tube6
  • Tracheitis6
  • Atelectasis2, 6
  • Death6

Airway hydration improves mucociliary clearance

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Delivering Optimized
Humidity

Optimal humidity emulates the natural balance of heat and moisture that occurs normally in healthy lungs and is essential to maintain physiological stability in already compromised airways. Humidity enables the comfortable delivery of high flows.

Mucociliary transport system

Mucociliary Video
Microscopy

Conditioned gas reduces drying of the airway epithelium which helps maintain function of the mucociliary transport system, clearing secretions and reducing the risk of infections. This video microscopy shows the negative impact of reduced humidity on mucociliary transport.

Effective Mucociliary Transport

Mucociliary clearance has been shown to significantly improve after 7 days of humidification1, in Bronchiectasis patients (not trached).

Water vapor vs. water droplets 

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  • The F&P myAIRVO™ 2 humidifier is designed to generate water vapor (molecules).                                                                                                             
  • Nebulizers and other aerosol delivery systems are designed to generate water droplets. Unlike water vapor, the droplets are large enough to carry pathogens.10
Water Vapor
0.0001 Microns
Virus
0.02 – 0.3 Microns
Bacteria
0.3 – 10 Microns
Nebulized  water droplet
1 – 10 Microns

References

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Why use Humidifed High Flow therapy for Tracheostomy patients?

  1. Williams R, Rankin N, Smith T, Galler D, Seakins P. Relationship between the humidity and temperature of inspired gas and the function of the airway mucosa. Crit Care Med 1996; 24(11): 1920-9.

Water vapor vs. water droplets 

  1. Takigawa K, Fujita J, Negayama k, Yamagishi Y, Yamaji Y, Ouchi K. Nosocomial Outbreak of Pseudomonas cepacia Respiratory Infection in Immunocompromised Patients Associated with Contaminated Nebulizer Devices. Jpn J Infect Dis. 1993; 67(11):1115-1125

Airway hydration improves mucociliary clearance

  1.  Hasani A, Chapman TH, McCool D, Smith RE, Dilworth JP, Agnew JE. Domiciliary humidification improves lung mucociliary clearance in patients with bronchiectasis. Chron Respir Dis 2008;5(2):81–86.

Product Codes

Part No. Description Quantity
OPT970 Optiflow+ Tracheostomy interface 20 pack
OPT970E Optiflow+ Tracheostomy interface 1 pack
OPT971 Sputum guard spare part 20 pack

Resource download list

AIRVO™ 2 Improving Care For Tracheostomy Patients

(PDF 1.8MB)

Download

Optiflow™ 9 series Tracheostomy Interface User Instructions

(PDF 2.3MB)

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Humidified High Flow for Tracheostomy Brochure

(PDF 0.0MB)

Download