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[氟烷蒸发器在温度、载气成分及气体流速方面的准确性]

[Accuracy of halothane vaporizers with respect to temperature, carrier gas composition and gas flow rate].

作者信息

Rieke H, Raffauf E M, Züchner K, Hauschke D, Sonntag H

出版信息

Anaesthesist. 1985 Oct;34(10):522-7.

PMID:4073446
Abstract

Since the precise measurement of halothane-concentration in the patients gas support during routine anesthesia still requires much effort, the accuracy of the vaporizers halothane output remains important for the safety of anesthesia and the education of younger anesthesiologists. In the present study 30 halothane vaporizers (14 Fluotec Mark 3/Cyprane Ltd., 12 Vapor 19/Dräger, 4 Abingdon/Penlon) were removed from the operating rooms in the University Hospital Göttingen to test their accuracy. The measurements were performed with a masspectrometer under standardized laboratory conditions with varied temperatures (10 degrees, 21 degrees, 35 degrees C), gasflows (3, 5, 8 l/min) and compositions of carrier gas (100% O2, N2O/O2 = 2/1). All vaporizers in this study showed a light tendency to higher halothane outputs for low concentration adjustments and to distinct lower outputs for higher concentration adjustments. The Vapor 19 vaporizers compensated well with changes of temperatures and gasflows but had a distinct dependency on carriers gas compositions. The Fluotec Mark 3 vaporizers output depended on the temperature and gasflow but was almost unaffected by the carrier gas composition. Tremendous deviations appeared with the Abingdon vaporizers, which seamed to be without any temperature compensation and which were highly gas flow dependent. It can be concluded from our results that vaporizers according to their construction tend to be imprecise.

摘要

由于在常规麻醉期间精确测量患者气体支持中氟烷的浓度仍需付出很大努力,因此蒸发器氟烷输出的准确性对于麻醉安全和年轻麻醉医生的培训仍然很重要。在本研究中,从哥廷根大学医院的手术室中取出了30台氟烷蒸发器(14台Fluotec Mark 3/Cyprane有限公司,12台Vapor 19/德尔格公司,4台阿宾登/彭龙公司)以测试其准确性。测量是在标准化实验室条件下,使用质谱仪在不同温度(10摄氏度、21摄氏度、35摄氏度)、气体流量(3、5、8升/分钟)和载气成分(100%氧气、氧化亚氮/氧气=2/1)下进行的。本研究中的所有蒸发器在低浓度调节时都有轻微的氟烷输出偏高趋势,而在高浓度调节时则有明显的输出偏低趋势。Vapor 19蒸发器能很好地补偿温度和气体流量的变化,但对载气成分有明显的依赖性。Fluotec Mark 3蒸发器的输出取决于温度和气体流量,但几乎不受载气成分的影响。阿宾登蒸发器出现了巨大偏差,似乎没有任何温度补偿,并且高度依赖气体流量。从我们的结果可以得出结论,蒸发器根据其构造往往不够精确。

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