Development of personalized non-invasive ventilation masks for critically ill children: a bench study

Background: Obtaining a properly fitting non-invasive ventilation (NIV) mask to treat acute respiratory failure is a major challenge, especially in young children and patients with craniofacial abnormalities. Personalization of NIV masks holds promise to improve pediatric NIV efficiency. As current...

Full description

Bibliographic Details
Main Authors: Pigmans, RRWP, Klein-Blommert, R, van Gestel, MC, Markhorst, DG, Hammond, P, Boomsma, P, Daams, T, de Jong, JMA, Heeman, PM, van Woensel, JBM, Dijkman, CD, Bem, RA
Format: Journal article
Language:English
Published: SpringerOpen 2024
_version_ 1811139415657938944
author Pigmans, RRWP
Klein-Blommert, R
van Gestel, MC
Markhorst, DG
Hammond, P
Boomsma, P
Daams, T
de Jong, JMA
Heeman, PM
van Woensel, JBM
Dijkman, CD
Bem, RA
author_facet Pigmans, RRWP
Klein-Blommert, R
van Gestel, MC
Markhorst, DG
Hammond, P
Boomsma, P
Daams, T
de Jong, JMA
Heeman, PM
van Woensel, JBM
Dijkman, CD
Bem, RA
author_sort Pigmans, RRWP
collection OXFORD
description Background: Obtaining a properly fitting non-invasive ventilation (NIV) mask to treat acute respiratory failure is a major challenge, especially in young children and patients with craniofacial abnormalities. Personalization of NIV masks holds promise to improve pediatric NIV efficiency. As current customization methods are relatively time consuming, this study aimed to test the air leak and surface pressure performance of personalized oronasal face masks using 3D printed soft materials. Personalized masks of three different biocompatible materials (silicone and photopolymer resin) were developed and tested on three head models of young children with abnormal facial features during preclinical bench simulation of pediatric NIV. Air leak percentages and facial surface pressures were measured and compared for each mask. Results: Personalized NIV masks could be successfully produced in under 12 h in a semi-automated 3D production process. During NIV simulation, overall air leak performance and applied surface pressures were acceptable, with leak percentages under 30% and average surface pressure values mostly remaining under normal capillary pressure. There was a small advantage of the masks produced with soft photopolymer resin material. Conclusion: This first, proof-of-concept bench study simulating NIV in children with abnormal facial features, showed that it is possible to obtain biocompatible, personalized oronasal masks with acceptable air leak and facial surface pressure performance using a relatively short, and semi-automated production process. Further research into the clinical value and possibilities for application of personalized NIV masks in critically ill children is needed.
first_indexed 2024-09-25T04:05:44Z
format Journal article
id oxford-uuid:be8ec26a-5f13-4329-818b-f49b85ad1874
institution University of Oxford
language English
last_indexed 2024-09-25T04:05:44Z
publishDate 2024
publisher SpringerOpen
record_format dspace
spelling oxford-uuid:be8ec26a-5f13-4329-818b-f49b85ad18742024-05-30T09:28:29ZDevelopment of personalized non-invasive ventilation masks for critically ill children: a bench studyJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:be8ec26a-5f13-4329-818b-f49b85ad1874EnglishJisc Publications RouterSpringerOpen2024Pigmans, RRWPKlein-Blommert, Rvan Gestel, MCMarkhorst, DGHammond, PBoomsma, PDaams, Tde Jong, JMAHeeman, PMvan Woensel, JBMDijkman, CDBem, RABackground: Obtaining a properly fitting non-invasive ventilation (NIV) mask to treat acute respiratory failure is a major challenge, especially in young children and patients with craniofacial abnormalities. Personalization of NIV masks holds promise to improve pediatric NIV efficiency. As current customization methods are relatively time consuming, this study aimed to test the air leak and surface pressure performance of personalized oronasal face masks using 3D printed soft materials. Personalized masks of three different biocompatible materials (silicone and photopolymer resin) were developed and tested on three head models of young children with abnormal facial features during preclinical bench simulation of pediatric NIV. Air leak percentages and facial surface pressures were measured and compared for each mask. Results: Personalized NIV masks could be successfully produced in under 12 h in a semi-automated 3D production process. During NIV simulation, overall air leak performance and applied surface pressures were acceptable, with leak percentages under 30% and average surface pressure values mostly remaining under normal capillary pressure. There was a small advantage of the masks produced with soft photopolymer resin material. Conclusion: This first, proof-of-concept bench study simulating NIV in children with abnormal facial features, showed that it is possible to obtain biocompatible, personalized oronasal masks with acceptable air leak and facial surface pressure performance using a relatively short, and semi-automated production process. Further research into the clinical value and possibilities for application of personalized NIV masks in critically ill children is needed.
spellingShingle Pigmans, RRWP
Klein-Blommert, R
van Gestel, MC
Markhorst, DG
Hammond, P
Boomsma, P
Daams, T
de Jong, JMA
Heeman, PM
van Woensel, JBM
Dijkman, CD
Bem, RA
Development of personalized non-invasive ventilation masks for critically ill children: a bench study
title Development of personalized non-invasive ventilation masks for critically ill children: a bench study
title_full Development of personalized non-invasive ventilation masks for critically ill children: a bench study
title_fullStr Development of personalized non-invasive ventilation masks for critically ill children: a bench study
title_full_unstemmed Development of personalized non-invasive ventilation masks for critically ill children: a bench study
title_short Development of personalized non-invasive ventilation masks for critically ill children: a bench study
title_sort development of personalized non invasive ventilation masks for critically ill children a bench study
work_keys_str_mv AT pigmansrrwp developmentofpersonalizednoninvasiveventilationmasksforcriticallyillchildrenabenchstudy
AT kleinblommertr developmentofpersonalizednoninvasiveventilationmasksforcriticallyillchildrenabenchstudy
AT vangestelmc developmentofpersonalizednoninvasiveventilationmasksforcriticallyillchildrenabenchstudy
AT markhorstdg developmentofpersonalizednoninvasiveventilationmasksforcriticallyillchildrenabenchstudy
AT hammondp developmentofpersonalizednoninvasiveventilationmasksforcriticallyillchildrenabenchstudy
AT boomsmap developmentofpersonalizednoninvasiveventilationmasksforcriticallyillchildrenabenchstudy
AT daamst developmentofpersonalizednoninvasiveventilationmasksforcriticallyillchildrenabenchstudy
AT dejongjma developmentofpersonalizednoninvasiveventilationmasksforcriticallyillchildrenabenchstudy
AT heemanpm developmentofpersonalizednoninvasiveventilationmasksforcriticallyillchildrenabenchstudy
AT vanwoenseljbm developmentofpersonalizednoninvasiveventilationmasksforcriticallyillchildrenabenchstudy
AT dijkmancd developmentofpersonalizednoninvasiveventilationmasksforcriticallyillchildrenabenchstudy
AT bemra developmentofpersonalizednoninvasiveventilationmasksforcriticallyillchildrenabenchstudy