Boyer Tanna J, Mitchell Sally A, Cartwright Johnny F, Ahmed Rami A
From the Departments of Anesthesia.
Emergency Medicine, Indiana University School of Medicine, Indianapolis, Indiana.
A A Pract. 2020 Jun;14(8):e01253. doi: 10.1213/XAA.0000000000001253.
The coronavirus disease 2019 (COVID-19) pandemic has rapidly exposed health care system inadequacies. Hospital ventilator shortages in Italy compelled US physicians to consider creative solutions, such as using Y-pieces or T-pieces, to preclude the need to make decisions of life or death based on medical equipment availability. We add to current knowledge and testing capacity for ventilator splitters by reporting the ability to examine the functionality of ventilator splitters by using 2 high-fidelity lung simulators. Data obtained by the high-fidelity lung simulators included: tidal volume, respiratory rate, minute ventilation, peak inspiratory pressure, peak plateau pressure, and positive end-expiratory pressure.
2019年冠状病毒病（COVID-19）大流行迅速暴露了医疗保健系统的不足。意大利医院的呼吸机短缺迫使美国医生考虑创造性的解决方案，例如使用Y形接头或T形接头，以避免基于医疗设备可用性做出生死抉择。我们通过报告使用两台高保真肺模拟器检查呼吸机分流器功能的能力，增加了目前关于呼吸机分流器的知识和测试能力。高保真肺模拟器获得的数据包括：潮气量、呼吸频率、分钟通气量、吸气峰压、平台峰压和呼气末正压。
