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因同轴（贝恩）回路故障导致的高碳酸血症。

Hypercapnia resulting from a faulty co-axial (Bain) circuit.

作者信息

Singh Ishwar, Gupta Monika, Singh Tarun K

机构信息

Department of Anaesthesia, Jaipur Golden Hospital, New Delhi, India.

出版信息

Indian J Anaesth. 2011 Jul;55(4):402-4. doi: 10.4103/0019-5049.84853.

DOI:10.4103/0019-5049.84853
PMID:22013262
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3190520/
Abstract

The Bain co-axial circuit is fully established in general anaesthesia practice. A major concern is the potential malfunctioning of the circuit due to avulsion of the inner fresh gas delivery tube at the machine end of the circuit. The following case report presents a case in which a patient connected to the Bain circuit developed severe hypercapnia in the early intraoperative period due to the above mentioned defect.

摘要

贝恩同轴回路在全身麻醉实践中已被广泛应用。一个主要问题是，回路在麻醉机端的内新鲜气体输送管可能因撕裂而导致回路出现潜在故障。以下病例报告介绍了一例连接到贝恩回路的患者，在术中早期因上述缺陷出现严重高碳酸血症的情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5900/3190520/1997dc9f6537/IJA-55-402-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5900/3190520/1997dc9f6537/IJA-55-402-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5900/3190520/1997dc9f6537/IJA-55-402-g001.jpg

相似文献

1
Hypercapnia resulting from a faulty co-axial (Bain) circuit.因同轴（贝恩）回路故障导致的高碳酸血症。
Indian J Anaesth. 2011 Jul;55(4):402-4. doi: 10.4103/0019-5049.84853.
2
Hypercarbia induced by detachment of inner fresh gas delivery tube of the bain circuit--a case report.
Acta Anaesthesiol Sin. 1995 Jun;33(2):129-32.
3
Capnography to check the safety of Bain circuit.监测回路安全的二氧化碳描记图。
J Clin Monit Comput. 2010 Feb;24(1):71-2. doi: 10.1007/s10877-009-9212-x. Epub 2009 Dec 15.
4
[Blood gas levels using spontaneous breathing and the Bain circuit. Our experience during head surgery (author's transl)].[使用自主呼吸和贝恩回路时的血气水平。我们在颅脑手术中的经验（作者译）]
Anesth Analg (Paris). 1981;38(9-10):505-11.
5
Detection of inner tube defects in co-axial circle and Bain breathing systems: a comparison of occlusion and Pethick tests.同轴环路和贝恩呼吸系统内管缺陷的检测：闭塞试验与佩西克试验的比较
Anaesthesia. 2008 Oct;63(10):1092-5. doi: 10.1111/j.1365-2044.2008.05568.x. Epub 2008 Jul 21.
6
Reduction of fresh gas flow requirements by a circle-modified bain breathing circuit.采用改良型循环式贝恩呼吸回路降低新鲜气流需求
J Clin Monit. 1991 Jan;7(1):49-55. doi: 10.1007/BF01617899.
7
Anesthetic equipment fault leading to hypercapnia in a cat.麻醉设备故障导致猫出现高碳酸血症。
Vet Anaesth Analg. 2004 Jul;31(3):231-4. doi: 10.1111/j.1467-2987.2004.00136.x.
8
Provision of endogenous and exogenous humidity for the Bain breathing circuit.为贝恩呼吸回路提供内源性和外源性湿度。
Can Anaesth Soc J. 1976 Mar;23(2):185-90. doi: 10.1007/BF03005690.
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[Partial occlusion of the Bain circuit causes respiratory acidosis under general anesthesia].[在全身麻醉下，贝恩回路的部分阻塞会导致呼吸性酸中毒]
Ugeskr Laeger. 2002 Oct 21;164(43):5037-8.
10
Hypercarbia and arrhythmias resulting from faulty Bain circuit: a report of two cases.
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引用本文的文献

1
Another circuit block: This time the actual Bain circuit.另一个回路组件：这次是实际的贝恩回路。
Indian J Anaesth. 2014 Nov-Dec;58(6):778-9. doi: 10.4103/0019-5049.147184.
2
[Faulty internal tube in a co-axial ventilation tube system: cause of a massive postoperative hypercapnia].[同轴通风管系统中的内管故障：术后大量高碳酸血症的原因]
Anaesthesist. 2013 Mar;62(3):197-200. doi: 10.1007/s00101-013-2147-0. Epub 2013 Mar 10.

本文引用的文献

1
Kinked inner tube of coaxial Bain circuit--need for corrugated inner tube.同轴型贝恩回路的内管扭结——对波纹状内管的需求
J Anesth. 2009;23(2):306. doi: 10.1007/s00540-008-0719-y. Epub 2009 May 15.
2
Detection of inner tube defects in co-axial circle and Bain breathing systems: a comparison of occlusion and Pethick tests.同轴环路和贝恩呼吸系统内管缺陷的检测：闭塞试验与佩西克试验的比较
Anaesthesia. 2008 Oct;63(10):1092-5. doi: 10.1111/j.1365-2044.2008.05568.x. Epub 2008 Jul 21.
3
Hypercarbia and arrhythmias resulting from faulty Bain circuit: a report of two cases.
Anesth Analg. 2006 Jun;102(6):1903-4. doi: 10.1213/01.ANE.0000215157.55388.9C.
4
A faulty Bain circuit.一个有故障的贝恩回路。
Anaesthesia. 2004 Jun;59(6):618. doi: 10.1111/j.1365-2044.2004.03814.x.
5
Hypercapnia related to a faulty adult co-axial breathing circuit.
Anesth Analg. 2001 Oct;93(4):973-4, table of contents. doi: 10.1097/00000539-200110000-00034.
6
Safety check for the Bain circuit.贝恩回路的安全检查。
Can Anaesth Soc J. 1984 Jul;31(4):487-8. doi: 10.1007/BF03015432.
7
A streamlined anaesthetic system.一种简化的麻醉系统。
Can Anaesth Soc J. 1972 Jul;19(4):426-35. doi: 10.1007/BF03005967.
8
A hazard connected with re-use of the Bain's circuit: A case report.与贝恩回路重复使用相关的一种风险：病例报告。
Can Anaesth Soc J. 1974 Sep;21(5):511-3. doi: 10.1007/BF03005848.
9
Profound hypercapnia due to disconnection within an anaesthetic machine.麻醉机内部连接断开导致的严重高碳酸血症。
Can J Anaesth. 1987 Nov;34(6):622-6. doi: 10.1007/BF03010524.