We have been using the Sedaconda system to deliver inhaled sevoflurane to both patients who are hard to sedate or have life threatening bronchospasm.
In the beginning we delivered continuous nebs concurrently with the inhaled sevoflurane (against my advice) but quickly found that the ACD/vaporiser (with its integrated HMEviral/bacterial filter) were rapidly becoming saturated and adding significant resistance to airflow.
I'm using aerogen neb chambers which are synchronised to inspiration and the neb chamber is placed between the ACD and patient.
Has anyone else used Sedaconda effectively?
Have you been able to deliver nebs without significantly affecting airflow resistance?
What lifespan do you get out of an ACD.
Continuous nebs seem incompatible with this therapy with everything I know about filters and continuous nebs.
The expected lifespan of an ACD is 24hrs but we barely get 8-12 out of ours.
I had a chat with the rep who couldn't offer any ideas.
We are using a dry circuit.
Open to all input or ideas, thanks.