Medicina (Aug 2023)

A New Full-Face Mask for Multifunctional Non-Invasive Ventilation

  • Renata Santos Vasconcelos,
  • Andréa Nóbrega Cirino Nogueira,
  • Renan Magalhães Montenegro Junior,
  • Arnaldo Aires Peixoto Junior,
  • Lucas Alves Ferreira,
  • Carlos Eugênio Moreira Sousa,
  • Diego Eneas Peres Ricca,
  • Jarbas Aryel Nunes da Silveira,
  • Fábio Cisne Ribeiro,
  • Francisco Rodrigo Porto Cavalcanti,
  • José Glauco Lobo Filho

DOI
https://doi.org/10.3390/medicina59081410
Journal volume & issue
Vol. 59, no. 8
p. 1410

Abstract

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Background: Noninvasive ventilation (NIV) provides positive pressure through different interfaces. A multifunctional full-face mask prototype was developed to provide NIV from three sources: ICU ventilators, portable ventilators, and high-flow medical gas pipeline systems. This study aimed to evaluate the usability of this prototype mask. Methods: This was a quantitative experimental study, conducted in two phases: the development of a full-face mask prototype NIV interface, and the evaluation of its usability by health professionals (evaluators) using a heuristic approach. The Wolf Mask prototype is a multifunctional full-face mask that makes it possible to deliver positive pressure from three different sources: microprocessor-controlled ICU ventilators, portable ventilators with single-limb circuits, and high-flow medical gas. The evaluation was conducted in three stages: presentation of the prototype to the evaluators; skills testing via simulation in a clinical environment; and a review of skills. Results: The prototype was developed by a multidisciplinary team and patented in Brazil. The evaluators were 10 health professionals specializing in NIV. Seven skills related to handling the prototype were evaluated. Three of the ten evaluators called for (non-urgent) changes to improve recognition of the components of the prototype. Only one evaluator called for (non-urgent) changes to improve recognition of the pieces, assembly, and checking the mask. Conclusions: The newly developed multifunctional full-face mask prototype demonstrated excellent usability for providing noninvasive ventilation from multiple sources. Minor modifications may further improve the design.

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