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[小儿麻醉中呼气末二氧化碳值的测量]

[Measurement of end-expiratory carbon dioxide values in pediatric anesthesia].

作者信息

Hausdörfer J, Hagemann H, Dieckhoff F

出版信息

Anaesthesist. 1986 Jun;35(6):353-8.

PMID:3092697
Abstract

This study dealt with two principles of the evaluation of end-expiratory CO2 in pediatric anaesthesia: detection of CO2-influenced infrared rays with a full stream analyzer attached to the tracheal tube; CO2 measurement with a side-stream analyzer connected to the breathing and ventilating system by a small tube. The linearity of the analyzers was tested with gas mixtures containing 3.0/5.0/7.0 vol% of CO2 cycling at an increasing rate. Additional mass-spectrometry has proven that the instruments are accurate within the clinical range of pediatric anesthesia. A maximal deviation of 8% develops when cycling rates increase to 40 per min. To detect quality differences in the analyzers, tangential constructions onto the CO2 curves plotted by the capnographs provided valuable quotients. Depending on the length of the tubing that feeds samples of respiratory gas into the side-stream analyzer, the CO2 curves were subject to sinus degradation with increasing respiratory rates. Capnography with full-stream analyzers depended on inspiratory zero CO2 content for reference purposes.

摘要

本研究涉及小儿麻醉中呼气末二氧化碳评估的两个原理

通过连接在气管导管上的主流分析仪检测受二氧化碳影响的红外线;通过一根小管连接到呼吸和通气系统的旁流分析仪测量二氧化碳。使用含3.0/5.0/7.0体积%二氧化碳的气体混合物以递增速率循环来测试分析仪的线性。额外的质谱分析已证明这些仪器在小儿麻醉的临床范围内是准确的。当循环速率增加到每分钟40次时,最大偏差为8%。为检测分析仪的质量差异,在二氧化碳图绘制的二氧化碳曲线上进行切线构建可提供有价值的商数。根据将呼吸气体样本输送到旁流分析仪的管道长度,随着呼吸频率增加,二氧化碳曲线会出现正弦衰减。使用主流分析仪的二氧化碳图依赖吸气时零二氧化碳含量作为参考目的。

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