現(xiàn)在出現(xiàn)了無創(chuàng)模式的呼吸機(jī)，采用壓力支持通氣，設(shè)計(jì)用來補(bǔ)償峰值，從而將泄露相關(guān)的報(bào)警降至最低。

Hamilton公司推出了Rahphael重癥監(jiān)護(hù)呼吸機(jī)。通過面罩、口罩或者頭盔方式提供無創(chuàng)呼吸模式，能夠降低插管的需要，并能夠早期拔掉插管。結(jié)果顯示慢性阻塞性肺病的死亡率下降，慢性阻塞性肺病患者、急性腎功能衰竭患者的通氣時(shí)間下降，呼吸機(jī)輔助肺炎的發(fā)病率下降。

一種軟件升級增加了氣管抵抗補(bǔ)償功能，所有模式包括雙向呼吸暫停儲備，監(jiān)測、控制、報(bào)警功能擴(kuò)大，以及提供挪威語和韓國語的支持。軟件還提供“最終配置”選擇項(xiàng)，允許使用者在呼吸機(jī)切斷電源之前，重新使設(shè)置生效。

Rhapael是一種緊湊型雙相呼吸機(jī)，設(shè)計(jì)用于幫助兒童患者以及成年患者在各種模式和時(shí)相下更加自由的呼吸，覆蓋了所有的臨床需要：侵入性通氣、自適應(yīng)支持通氣、以及無創(chuàng)通氣。這種設(shè)備設(shè)計(jì)用于重癥監(jiān)護(hù)室、心臟手術(shù)恢復(fù)室、緩沖室、亞急性監(jiān)護(hù)室以及長期監(jiān)護(hù)中心。
 
 
Ventilators With Noninvasive Mode
 
Ventilators are now available with a noninvasive mode, which is an adaptation of pressure-support ventilation designed to compensate leaks and to minimize leak-related nuisance alarms.

Raphael intensive care ventilators are available from Hamilton Medical AG (Rhazuns, Switzerland). Noninvasive ventilation provided through a mask, mouthpiece, or helmet interface can decrease the need for intubation and promote early extubation. The results have shown reduced mortality in patients with chronic obstructive pulmonary disease (COPD), reduced ventilation time in COPD and acute renal failure (ARF) patients, and reduced complication rates of ventilator-assisted pneumonias.

A software upgrade adds tube resistance compensation, and all models now include bi-directional apnea backup, expanded monitoring, control, and alarm functions, as well as instructions in Norwegian and Korean languages. The software also provides a “l(fā)ast setup” option, enabling the user to resume ventilation at the settings in effect before the ventilator was last powered down.

The Rhapael is a compact biphasic ventilator designed to help pediatric and adult patients breathe more freely in all modes and phases, by covering the full range of clinical requirements: invasive ventilation, automated ventilation with adaptive support ventilation (ASV), and noninvasive ventilation. The unit is designed for use in the intensive care unit (ICU), cardiac surgery recovery, step-down units, subacute care units, and long-term care centers.