Gegel Brian T
United States Army Graduate Program in Anesthesia Nursing, Fort Sam Houston, Texas, USA.
AANA J. 2008 Jun;76(3):185-7.
The Ohmeda Universal Portable Anesthesia Complete (U-PAC) draw-over anesthetic system is active in the US Army inventory. It is standard equipment for Certified Registered Nurse Anesthetists assigned to US Army Forward Surgical Teams and Joint Special Operations Command. The purpose of this article is to describe a practical and field-expedient U-PAC draw-over vaporizer setup used during Operation Iraqi Freedom I (February 2003 to July 2003). During the deployment, general anesthesia was administered to 25 patients with penetrating trauma using the Gegel-Mercado setup without system malfunction. This setup strengthens the standard U-PAC draw-over system delivery because it increases fractional inspired oxygen concentrations, promotes hands-free operation, enhances circuit cleanliness reducing cross contamination, and provides an alternate method for draw-over anesthesia administration in austere conditions when a ventilator may not be available or practical. It integrates and builds on the core concepts of draw-over anesthesia delivery in the literature. The Gegel-Mercado setup is combat proven.
欧米达通用便携式麻醉全套设备（U-PAC）抽吸式麻醉系统在美国陆军库存中处于现役状态。它是分配给美国陆军前方外科手术队和联合特种作战司令部的认证注册护士麻醉师的标准设备。本文的目的是描述在伊拉克自由行动I（2003年2月至2003年7月）期间使用的一种实用且便于野外操作的U-PAC抽吸式蒸发器设置。在部署期间，使用Gegel-Mercado设置对25名穿透性创伤患者实施全身麻醉，未出现系统故障。这种设置增强了标准U-PAC抽吸式系统的输送能力，因为它提高了吸入氧分数浓度，促进了免提操作，增强了回路清洁度以减少交叉污染，并在可能无法获得或不实用呼吸机的严峻条件下提供了一种替代的抽吸式麻醉给药方法。它整合并建立在文献中抽吸式麻醉输送的核心概念之上。Gegel-Mercado设置已在实战中得到验证。
