being carried out since the onset of the COVID pandemic. Of course, it is not known how long this favorable situation will persist.
Nitrogen and Gas Techniques
The need for ventilators and the potential use of CPAP and BiPAP machines as passive ventilation devices has drawn new attention to these machines and to their use of sealing ‘sleep friendly’, positive air pressure delivery systems. This has highlighted their possible future use as positive-pressure, end of life methods (if an external source of a gas such as nitrogen is used).
The R2D DeBreather The release of the R2D DeBreather device was initially planned for early 2020. However, as the device ships from China, the emergence of COVID-19 seriously affected this process. The closure of factories in China in the early weeks of the pandemic, saw the DeBreather caught up in the disruption and the release date was pushed back to April. After a number of delays, the device is now shipping.
Anecdotal evidence shows that while, initially, there was a ‘yuk’ factor associated with the aesthetics of the DeBreather, the look and process of this device is suddenly much more acceptable: perhaps this is due to a growing public acceptance of the use of face masks. Once shunned, wearing a mask on one’s face is suddenly acceptable!
The problem of poorly-fitting and leaking face masks has been a major issue in the design of the DeBreather (as detailed in the Chapter on DeBreather). With the availability of alternative CPAP and BiPAP masks (which are designed to remain in position during sleep) further modifications and improvements to the R2D DeBreather are now likely.