Phillips G D, Skowronski G A
Anaesth Intensive Care. 1986 Aug;14(3):306-13. doi: 10.1177/0310057X8601400310.
This paper reviews the state of the art in Australia of manually operated, self-inflating bag resuscitators, including the Laerdal, Air Viva and Ambu; manually operated bags dependent upon an oxygen supply, including Mapleson B, C, E and F, the CIG Medishield Oxy-Saver and modified Oxy-Viva Resuscitator 3, and the Komesaroff Oxy-Resuscitator RD85; oxygen-powered resuscitators, including the Oxy-Viva Resuscitator 3 with Demand and RM2 Valves, and the Oxylife FM85; and portable ventilators, including the Drager Oxylog, and Ohmeda Logic 07. Specific comment is made to the effect that the design of the resuscitator is often less important than the knowledge and ability of the operator in using the equipment to achieve adequate lung ventilation. The simplest, cheapest, most useful resuscitators are the manually operated self-inflating bag assemblies. With special training, use of more complex equipment can be justified in some circumstances. The more complex the equipment, the greater the risk of inappropriate use, and the greater the risk of equipment malfunction unless a regular maintenance program is followed.
本文综述了澳大利亚手动操作、自动充气式复苏器的技术现状,包括Laerdal、Air Viva和Ambu;依赖氧气供应的手动操作气囊,包括Mapleson B、C、E和F、CIG Medishield Oxy-Saver和改良版Oxy-Viva复苏器3,以及Komesaroff氧气复苏器RD85;氧气驱动复苏器,包括带按需阀和RM2阀的Oxy-Viva复苏器3,以及Oxylife FM85;还有便携式呼吸机,包括德尔格Oxylog和欧姆龙Logic 07。特别指出的是,复苏器的设计往往不如操作者使用设备实现充分肺通气的知识和能力重要。最简单、最便宜、最实用的复苏器是手动操作的自动充气式气囊组件。经过特殊培训后,在某些情况下使用更复杂的设备是合理的。设备越复杂,不当使用的风险就越大,而且除非遵循定期维护计划,否则设备故障的风险也越大。