Methods and apparatus for oxygenation and/or CO2 removal
Described is an apparatus for oxygenation and/or CO2 clearance of a patient, comprising: a flow source or a connection for a flow source for providing a gas flow, a gas flow modulator, a controller to control the gas flow, wherein the controller is operable to: receive input relating to heart activity and/or trachea gas flow of the patient, and control the gas flow modulator to provide a varying gas flow with one or more oscillating components with a frequency or frequencies based on the heart activity and/or trachea flow of the patient.
1 . A method for oxygenation and CO2 clearance of a patient during a medical procedure that includes administration of anesthesia, the method comprising:
controlling a flow rate of a flow of gas, when the patient is under anesthesia, to provide a varying gas flow with an oscillating flow rate, the oscillating flow rate comprising a base flow rate of 20 litres/min to 90 litres/min, the oscillating flow rate having at least one frequency based on a heart activity, wherein the heart activity is determined based on a sensor; and
delivering the varying gas flow, when the patient is under anesthesia, via a non- sealing nasal cannula to the patient.
2 . The method according to claim 1 , further comprising determining the heart activity based on
receiving input from the sensor, the sensor comprising a heart activity sensor.
3 . The method according to claim 1 , wherein the oscillating flow rate is about 0 litres/min to about 375 litres/min.
4 . The method according to claim 3 , wherein the base flow rate is about 40 litres/min to about 70 litres/min.
5 . The method according to claim 3 , wherein the patient is apnoeic from the anesthesia prior to delivering the varying gas flow to the patient.
6 . The method according to claim 1 , wherein a relative phase of the oscillating flow rate is one of:
in phase with the heart activity;
in anti-phase with the heart activity; or
in an arbitrary phase.
7 . The method according to claim 1 , wherein the oscillating flow rate has at least one frequency based on the heart activity, the heart activity comprising one or more frequencies, and the varying gas flow with the oscillating flow rate is provided with at least one frequency different from those of the heart activity.
8 . The method according to claim 1 , wherein the oscillating flow rate further comprises a first flow rate component and a second flow rate component with respective frequencies, wherein the first flow rate component provides bulk gas flow at a frequency corresponding to a breath rate of the patient, and the second flow rate component has a different frequency based on the heart activity.
9 . The method according to claim 1 , wherein the varying gas flow has an oxygen fraction of 100%.
10 . The method according to claim 1 , further comprising humidifying the varying gas flow.
11 . The method according to claim 1 , further comprising receiving input relating to exhaled CO2 and utilizing the input to control the varying gas flow.
12 . The method according to claim 1 , wherein delivering the varying gas flow comprises delivering a net positive flow of the varying gas flow to the patient.
13 . The method according to claim 1 , wherein the oscillating flow rate is configured for controlling the flow of gas without breath synchronization.
14 . The method according to claim 1 , further comprising determining the heart activity based on receiving input from the sensor, the sensor comprising a flow sensor.
15 . An apparatus for oxygenation and CO2 clearance of a patient during a medical procedure involving administration of anesthesia, the apparatus comprising:
a flow source or a connection for a flow source for providing a gas flow;
a gas flow modulator; and
a controller operable to control the gas flow modulator when the patient is under anesthesia, wherein the controller is operable to control, during the medical procedure while the patient is under anesthesia, a flow rate of the gas flow by controlling the gas flow modulator to oscillate the flow rate, and the controller is further operable to provide a varying gas flow with an oscillating flow rate comprising a base flow rate of 20 litres/min to 90 litres/min via a non-sealing nasal interface to the patient while the patient is under anesthesia, with the oscillating flow rate having at least one frequency based on a heart activity, wherein the heart activity is determined based on a sensor and/or a trachea gas flow.
16 . The apparatus according to claim 15 , further comprising a humidifier configured for humidifying the varying gas flow.
17 . The apparatus according to claim 15 , further comprising the sensor, the sensor comprising at least one sensor configured to provide an input for determining the heart activity, the at least one sensor comprising at least one of a heart activity sensor or a flow sensor.
18 . The apparatus according to claim 15 , wherein provision of the varying gas flow by the controller is configured to occur responsive to the patient under anesthesia being apnoeic.