Knitsch W, Schultz A, Schultz B, Heiringhoff K H, Pichlmayr I
Medizinische Hochschule Hannover, Abteilung IV im Krankenhaus Oststadt.
Anasth Intensivther Notfallmed. 1990 Jun;25(3):212-5.
Postoperative artificial ventilation by using an endotracheal tube may cause a pulmonary infection. A possibly necessary permanent sedation and relaxation may result in an additional danger for the patient. The principle of the "iron lung" represents an alternative to endotracheal artificial respiration, which applies especially to endangered patients who are under postoperative artificial respiration. After an abdominal operation five patients have been extubated and artificially respirated by using the "iron lung" principle while not being able to breath by themselves. The degree of the sedation was monitored both intraoperatively and postoperatively using an automatic EEG classification. The performance spectrum of the respiratory curve enabled very early detection of the onset of spontaneous respiration.
使用气管内插管进行术后人工通气可能会导致肺部感染。可能需要的长期镇静和肌肉松弛会给患者带来额外风险。“铁肺”原理是气管内人工呼吸的一种替代方法，特别适用于接受术后人工呼吸的濒危患者。腹部手术后，五名患者在无法自主呼吸的情况下被拔管，并采用“铁肺”原理进行人工呼吸。术中及术后使用自动脑电图分类法监测镇静程度。呼吸曲线的性能谱能够非常早期地检测到自主呼吸的开始。
