Shulman D, Beilin B, Olshwang D
Department of Anesthesia, Hadassah University Hospital, Mount Scopus, Israel.
Resuscitation. 1987 Sep;15(3):201-7. doi: 10.1016/0300-9572(87)90015-3.
Two cases are presented of pulmonary barotrauma developing during cardiopulmonary resuscitation. This was attributed to high airway pressures developed during ventilation. One patient was ventilated with a self-inflating bag and the second with the Robertshaw demand valve. Both devices were used appropriately. Three other cases of pulmonary barotrauma during resuscitation have been recorded with the use of the latter device during CPR by ambulance personnel in Israel. The Robertshaw demand valve may generate excessively high airway pressures during normal use or when malfunctioning. For these reasons, the use of the Robertshaw demand valve has been discontinued in the Israeli Emergency Medical Services ambulances.
本文报告了两例心肺复苏期间发生的肺气压伤病例。这归因于通气过程中产生的高气道压力。一名患者使用自动充气式气囊通气，另一名患者使用罗伯特肖按需阀通气。两种设备均使用得当。以色列有另外三例复苏期间肺气压伤的病例记录，是急救人员在心肺复苏期间使用了后者这种设备。罗伯特肖按需阀在正常使用或出现故障时可能会产生过高的气道压力。出于这些原因，以色列紧急医疗服务救护车已停止使用罗伯特肖按需阀。
