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[一种新型麻醉系统的性能分析:特梅尔·苏普拉——第一部分]

[Performance analysis of a new anesthetic system: the Temel Supra--part I].

作者信息

Company R, García V, López F

机构信息

Servicio de Anestesiología-Reanimación y Terapia del Dolor, Hospital General Universitario de Alicante.

出版信息

Rev Esp Anestesiol Reanim. 2004 Jun-Jul;51(6):299-308.

PMID:15303530
Abstract

OBJECTIVES

To evaluate the performance of a new anesthetic system that purports to provide novel advantages in ventilating the anesthetized patient.

MATERIAL AND METHODS

A performance analysis was carried out in our respirator function laboratory using lung simulators to assess the system, its degree of compliance with current regulations, and the degree of compliance with the manufacturer's claims.

RESULTS

The system is 100% effective. The internal compliance of the respirator was 0.13 +/- 0.01 mL/cm H2O, inspiratory resistance was 1.9 +/- 0.1 cm H2O/L/s, expiratory resistance was 3.1 +/- 0.3 cm H2O/L/s, and internal volume was 130 mL.

CONCLUSIONS

The Temel Supra device is versatile and meets the anesthetic requirements of patients undergoing any type of surgery. The possibility of using an open circuit, a low flow, a closed circuit, or a continuous flow without having to change to another system allows the anesthesiologist to make use of the advantages of each circuit without its drawbacks. The efficacy of the circuit is 100%. The low internal volume means that internal compliance is negligible and time constants are low, guaranteeing that the volume programmed is the same as the volume delivered and facilitating alveolar redistribution of gases. The monitoring and warning systems assure safe patient ventilation and accurate dosing of gases and anesthetic agents.

摘要

目的

评估一种声称在为麻醉患者通气方面具有新优势的新型麻醉系统的性能。

材料与方法

在我们的呼吸功能实验室使用肺模拟器进行性能分析,以评估该系统、其符合现行法规的程度以及符合制造商声称的程度。

结果

该系统100%有效。呼吸器的内部顺应性为0.13±0.01 mL/cm H₂O,吸气阻力为1.9±0.1 cm H₂O/L/s,呼气阻力为3.1±0.3 cm H₂O/L/s,内部容积为130 mL。

结论

Temel Supra设备用途广泛,满足任何类型手术患者的麻醉需求。无需更换至其他系统即可使用开路、低流量、闭路或连续流的可能性,使麻醉医生能够利用每个回路的优点而无其缺点。该回路的功效为100%。低内部容积意味着内部顺应性可忽略不计且时间常数较低,确保设定的容积与输送的容积相同,并有利于气体在肺泡内重新分布。监测和警报系统确保患者通气安全以及气体和麻醉剂的精确给药。

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[Performance analysis of a new anesthetic system: the Temel Supra--part I].[一种新型麻醉系统的性能分析:特梅尔·苏普拉——第一部分]
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