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一些二氧化碳监测仪中的水蒸气校准误差:制造商误解了呼吸规范?

Water vapor calibration errors in some capnometers: respiratory conventions misunderstood by manufacturers?

作者信息

Severinghaus J W

机构信息

Department of Anesthesia, University of California, San Francisco 94143-0542.

出版信息

Anesthesiology. 1989 Jun;70(6):996-8. doi: 10.1097/00000542-198906000-00019.

Abstract

Incorrect calibration has been included in several recently introduced CO2 analyzers. They display a value of "PCO2" internally calculated as FCO2 X Pb rather than FCO2(Pb - 47) where Pb is barometric pressure. This conceptual error appears to have been introduced because new sampling catheter material has become available that effectively removes water vapor before samples reach the sample cell. This seems to have led some manufacturers to assume, incorrectly, that the 47 mmHg factor used to compute PCO2 in patients would no longer be needed. Users can test whether this error is present in an instrument by testing the effect of wet versus dry gases, and make appropriate corrections if the errors are present. Manufacturers should promptly correct this error in all instruments sold previously.

摘要

最近推出的几款二氧化碳分析仪存在校准错误。它们内部显示的“PCO2”值是按FCO2×Pb计算得出,而不是FCO2(Pb - 47),其中Pb为大气压力。出现这种概念错误似乎是因为有了新的采样导管材料,在样本到达样品池之前能有效去除水蒸气。这似乎导致一些制造商错误地认为,计算患者PCO2时使用的47 mmHg这个系数不再需要。用户可以通过测试湿气体与干气体的影响来检测仪器中是否存在此错误,如果存在错误则进行适当校正。制造商应立即纠正此前售出的所有仪器中的这一错误。

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