全身麻醉下无氧通气氧合对呼吸和循环系统的影响。
Influence of apnoeic oxygenation in respiratory and circulatory system under general anaesthesia.
作者信息
Kolettas Alexander, Grosomanidis Vasilis, Kolettas Vasilis, Zarogoulidis Paul, Tsakiridis Kosmas, Katsikogiannis Nikolaos, Tsiouda Theodora, Kiougioumtzi Ioanna, Machairiotis Nikolaos, Drylis Georgios, Kesisis Georgios, Beleveslis Thomas, Zarogoulidis Konstantinos
机构信息
1 Anaesthesiology Department, "Saint Luke" Private Clinic, Thessaloniki, Panorama, Greece ; 2 Anaesthesiology Department, 3 Cardiology Department, "AHEPA" University Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece ; 4 Pulmonary Department, "G. Papanikolaou" General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece ; 5 Cardiothoracic Surgery Department, "Saint Luke" Private Clinic, Thessaloniki, Panorama, Greece ; 6 Surgery Department (NHS), University General Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece ; 7 Internal Medicine Department, "Theageneio" Cancer Hospital, Thessaloniki, Greece ; 8 Internal Medicine Department, Regional Hospital of Samos, Samos, Greece ; 9 Onocology Department, 10 Cardiology Department, "Saint Luke" Private Clinic, Thessaloniki, Panorama, Greece.
出版信息
J Thorac Dis. 2014 Mar;6 Suppl 1(Suppl 1):S116-45. doi: 10.3978/j.issn.2072-1439.2014.01.17.
Apnoeic oxygenation is an alternative technique of oxygenation which is recommended in the consecutive oxygen administration with varying flows (2-10 lt/min) through a catheter which is positioned over the keel of the trachea. Apnoeic oxygenation maintains for a significant period of time the oxygenation of blood in breathless conditions. This technique was first applied in 1947 by Draper, Whitehead, and Spencer and it was studied sporadically by other inventors too. However, the international literature shows few studies that have examined closely apnoeic oxygenation and its effects on Hemodynamic image and the respiratory system of the human body. Recently they have begun to arise some studies which deal with the application of this technique in several conditions such as difficult tracheal intubation, ventilation of guinea pigs in campaign conditions where the oxygen supply is limited and calculable, the application of this technique in combination with the use of extracorporeal removal of carbon dioxide (CO2). All the above indicate, the clinical use of this technique.
无呼吸氧合是一种氧合替代技术，建议在通过置于气管隆突上方的导管以不同流速（2 - 10升/分钟）持续输氧时使用。无呼吸氧合能在较长一段时间内维持呼吸暂停状态下血液的氧合。该技术于1947年由德雷珀、怀特黑德和斯宾塞首次应用，其他发明者也对其进行过零星研究。然而，国际文献中很少有对无呼吸氧合及其对人体血流动力学影像和呼吸系统影响进行深入研究的报道。最近，开始出现一些关于该技术在多种情况下应用的研究，如困难气管插管、在氧气供应有限且可计算的野外条件下对豚鼠进行通气、该技术与体外二氧化碳（CO2）清除联合应用等。以上所有情况均表明了该技术的临床应用。
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