• Beatriz Mayumi Kikuti, Karen Utsunomia, Renata Potonyacz Colaneri, Carlos Roberto Ribeiro de Carvalho, and Pedro Caruso.
• University of São Paulo School of Medicine, São Paulo, Brazil.
• J Bras Pneumol. 2008 Mar 1; 34 (3): 167-72.

ObjectiveTo test the efficiency of the Bird Mark 7 ventilator adapted to deliver continuous positive airway pressure (CPAP) in noninvasive positive pressure ventilation.MethodsThis was an experimental study using a mechanical model of the respiratory system. A Bird Mark 7 ventilator was supplied with 400 and 500 kPa and tested at CPAP of 5, 10 and 15 cmH2O. The following variables were analyzed: difference between the preset CPAP and the CPAP actually attained CPAP (trueCPAP); area of airway pressure at the CPAP level employed (AREA CPAP); and tidal volume generated.ResultsAdapting the Bird Mark 7 to offer CPAP achieved the expected tidal volume in all situations of inspiratory effort (normal or high), ventilator pressure supply (400 or 500 kPa) and CPAP value (5, 10 or 15 cmH2O). At a CPAP of 5 or 10 cmH2O, the trueCPAP was near the preset level, and the AREA CPAP was near zero. However, at a CPAP of 15 cmH2O, the value remained below the preset, and the AREA CPAP was high.ConclusionThe efficiency of Bird Mark 7 adaptation in offering CPAP was satisfactory at 5 and 10 cmH2O but insufficient at 15 cmH2O. If adapted as described in our study, the Bird Mark 7 might be an option for offering CPAP up to 10 cmH2O in areas where little or no equipment is available.

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