Freys G, Burgun G, L'Haridon V, Otteni J C, Pottecher T
Service d'anesthésie-réanimation chirurgicale, Hôpitaux Universitaires de Strasbourg, hôpital de Hautepierre, avenue Molière, 67098 Strasbourg, France.
Ann Fr Anesth Reanim. 2002 Jan;21(1):46-9. doi: 10.1016/s0750-7658(01)00548-2.
Gas embolism at the end of infusion is a well known hazard, that should have disappeared with the use of flexible bags. However, some cases have been reported after pressure infusion. This experimental study evaluates the risk for gas embolism with Ecoflac type flexible bags. These bags are safe under normal pressure infusion conditions with a pneumatic sleeve, because of their texture and pliability; indeed, only minimal air volumes could be expelled, without any risk even in children. However, to be on the safe side, the manufacturer recommends to expel any residual air before pressure administration. This recommendation applies to any bag containing residual air, and since many people are not aware of this, it is rarely put into practice.
输液结束时的气体栓塞是一种众所周知的风险,使用软袋后这种风险本应消失。然而,压力输液后仍有一些病例报告。本实验研究评估了使用Ecoflac型软袋时发生气体栓塞的风险。这些袋子在使用气动套筒的常压输液条件下是安全的,这得益于它们的质地和柔韧性;实际上,即使在儿童中,也只能排出极少的空气量,不存在任何风险。然而,为了安全起见,制造商建议在压力给药前排出所有残留空气。这一建议适用于任何含有残留空气的袋子,而且由于许多人并不知道这一点,所以很少有人将其付诸实践。