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In normal inspiration, the upper airway warms and humidifies the inspired air to prevent negative consequences for mucociliary clearance, such as damage to ciliated epithelium, inspissation of secretions in the lower airways and as a life-threatening complication. (Dr. Antonio) In mechanical ventilation, the gas bypasses the natural mechanisms of filtration, humidification and warming of inspired air. Maintaining heat and humidity during gas intake is necessary during mechanical ventilation. Applying a heated humidifier (Active Humidification) or Heat and Moisture Exchanger (HME) (Passive Humidification) is the solution for the addition of temperature and moisture.
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