Conditioning of inspired air by a hygroscopic condenser humidifier

The heat and water content of inspired air is critical to the pulmonary viability of patients with artificial airways. By continuously measuring gas conditions in the ventilator circuits of 6 adult ICU patients, we studied the heat and water reclaimed from expired air by a hygroscopic condenser humidifier (HCH) in the circuit. Temperature, partial pressure of water vapor (PH2O) and relative humidity (RH) were determined at the tracheal outlet of the endotracheal tube. The HCH was 63% efficient; the end-inspiratory gas delivered to the patients averaged 30.9 degrees C with a PH2O of 32.5 mm Hg and an RH of 97.3% or, equivalently, an RH of 69.2% referenced to 37 degrees C. These values are lower than those reported in the literature for gas in the trachea during nose breathing of ambient air, but greater than the values reported for mouth breathing of ambient air.