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麻醉剂蒸气分析器和加压计量吸入器推进剂。

Anesthetic agent vapor analyzers and propellants of pressurized meter-dose inhalers.

机构信息

Kasturba Medical College, Manipal, India.

出版信息

J Clin Monit Comput. 2010 Apr;24(2):131-2. doi: 10.1007/s10877-010-9220-x. Epub 2010 Feb 4.


DOI:10.1007/s10877-010-9220-x
PMID:20130969
Abstract

Anesthetic agent analyzers fail when drug from a HFA propelled pMDI is administered. Most anesthetic vapor analyzers use infrared absorption at 3.3 micron. At this wavelength, substance like methane has been reported to interfere with the accuracy of measurement of anesthetic vapor. The anesthetic gas monitor 1304 (Brüel and Kjaer) which functions at 10.3-13 micron wavelength was not affected by methane. Is it possible, HFA with its structural similarity to inhaled anesthetic agents may be responsible for faulty reading of anesthetic vapor concentration in two of our monitors? Further evidence is needed to support this finding. Anesthesiologists need to be ever vigilant and recognize the need for smarter designs of anesthetic agent analyzers with changing array of drugs administered during anesthetic management.

摘要

当使用 HFA 推进的 pMDI 中的药物进行给药时,麻醉剂分析器会出现故障。大多数麻醉蒸气分析器使用 3.3 微米处的红外吸收。在这个波长下,据报道甲烷等物质会干扰麻醉蒸气测量的准确性。在 10.3-13 微米波长下工作的麻醉气体监测器 1304(Brüel 和 Kjaer)不受甲烷的影响。是否有可能,由于其与吸入性麻醉剂结构相似,HFA 可能是导致我们的两个监测器中麻醉蒸气浓度读数错误的原因?需要进一步的证据来支持这一发现。麻醉师需要时刻保持警惕,并认识到需要为麻醉管理期间使用的各种药物设计更智能的麻醉剂分析器。

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[1]
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[2]
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引用本文的文献

[1]
Interference of anesthesia monitoring equipment by HFA propellants. Letter to the editor.

J Clin Monit Comput. 2010-6

本文引用的文献

[1]
Withdrawal of albuterol inhalers containing chlorofluorocarbon propellants.

N Engl J Med. 2007-3-29

[2]
Inhaled bronchodilator administration during mechanical ventilation.

Respir Care. 2004-6

[3]
Pressurised metered dose inhalers versus all other hand-held inhaler devices to deliver beta-2 agonist bronchodilators for non-acute asthma.

Cochrane Database Syst Rev. 2002

[4]
Bronchodilator delivery with metered-dose inhaler during mechanical ventilation.

Crit Care. 2000

[5]
Methane influences infrared technique anesthetic agent monitors.

J Clin Monit Comput. 1998-2

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