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Short #Tweetorial

How did we started with heated humified high flow nasal cannula in 🇺🇾 ?

Easy explanation of 3 #HHHFNC homemade models #HFNC devices?

(No COI to declare)

#PedsICU #SoMe4MV #historyofmedicine @WFPICCS
2/
It is really easy.
You can get information of its uses and applications in this nice review in @respcare ▶️ncbi.nlm.nih.gov/pubmed/27016353

This is basically the diagram 👇
3/
So back in 2012 in our country we wanted to try some kind of respiratory support for the youngest infants in which interfases for #NIV was difficult.

SO we came up with an idea: What if we dismantle the old ventilators we do not use any more?

Like this ones 👇
4/
They were cheap (we weren´t using them anymore) and there was no information than commercial devices were better!

And as we were (and still are) living on the NON INVASIVE VENTILATION INVASION, we thought ventilators will be even more unneccesary in the years to come.
5/
So we transformed the ventilators in #HFNC devices

Isn´t it cheap? Very suitable for LMICs !

Look at the transformation !
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Another model (2/3)

👇
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Let´s make a closer look to the details. Blender+heater+connections
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Now the third model. If you do not have and antique ventilator, there is no problem. You can mix the air and the oxygen directly from the walls!
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This seems like a history class but many of us are still using them. We have no enough money to afford expensive devices!

Oh I forgot. WHat about the cannulae? We used bigger ones! Just being careful not to occlude the nostrils is ok!
10/
This seems like a history class but many of us are still using them. We have no enough money to afford expensive devices!

Oh I forgot. WHat about the cannulae? We used bigger ones! Just being careful not to occlude the nostrils is ok!
11/
Thanks to @mommimaya for the idea of thi tweetorial. Hope you find it useful.
You do not need money to have your own #HFNC

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