Endotracheal temperature and humidity in laryngectomized patients in a warm and dry environment and the effect of a heat and moisture exchanger

Background:
This study was designed to assess endotracheal climate in laryngectomized patients in a warm and dry environment and the effects of a heat and moisture exchanger (HME).
Methods:
Endotracheal temperature and humidity were measured in 11 laryngectomized patients with a regularly used HME (Provox Normal HME; R-HME), an HME with antimicrobial filter (Provox Micron HME; F-HME), and without HME (open stoma). Measurements were performed at 32°C, 34°C, and 38°C (<25% relative humidity).
Results:
Both R-HME and F-HME increased end-inspiratory humidity (AHinsp) equally (range, 3.4 to 5.6 mgH2O/L). The R-HME has a cooling effect on end-inspiratory temperature (Tinsp), which is similar for all tested environmental conditions (−3.8°C); F-HME decreases Tinsp less (range, −1.3 to −0.6°C).
Conclusions:
In a warm and dry environment, both R- and F-HME significantly cool and humidify inspired air. Therefore, consistent use of an HME under these climate conditions is also probably clinically beneficial.