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五种麻醉呼吸系统对呼吸功的影响。

Change in the work of breathing imposed by five anaesthetic breathing systems.

作者信息

Kay B, Beatty P C, Healy T E, Accoush M E, Calpin M

出版信息

Br J Anaesth. 1983 Dec;55(12):1239-47. doi: 10.1093/bja/55.12.1239.

DOI:10.1093/bja/55.12.1239
PMID:6580908
Abstract

Measurements of pressure and flow in five anaesthetic breathing systems were studied with various fresh gas flows (FGF) using volunteers, and mechanically simulated breathing. Pressure measurements were made at the patient connection and in the neck of the reservoir bag. A pneumotachograph was used to measure flow in the patient connection. The change in the work of breathing imposed by the circuit was derived from the pressure-volume graph and apportioned to stages of the breathing cycle. All the systems studied increased the work of breathing. Expiratory work was always increased more than inspiratory work. The additional work imposed on expiration and the total extra work imposed on breathing were further increased at FGF greater than the minimum clinical requirement.

摘要

使用志愿者并通过机械模拟呼吸,对五种麻醉呼吸系统在不同新鲜气体流量(FGF)下的压力和流量进行了测量。在患者连接端和储气囊颈部进行压力测量。使用呼吸速度描记器测量患者连接端的流量。由压力-容积图得出回路施加的呼吸功变化,并将其分配到呼吸周期的各个阶段。所研究的所有系统均增加了呼吸功。呼气功的增加总是大于吸气功。当新鲜气体流量大于最低临床需求时,呼气时额外增加的功以及呼吸时额外增加的总功会进一步增加。

相似文献

1
Change in the work of breathing imposed by five anaesthetic breathing systems.五种麻醉呼吸系统对呼吸功的影响。
Br J Anaesth. 1983 Dec;55(12):1239-47. doi: 10.1093/bja/55.12.1239.
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The additional work of breathing imposed by Mapleson A systems.马普乐逊A系统所带来的额外呼吸功。
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Imposed work of breathing during high-frequency oscillatory ventilation: a bench study.高频振荡通气时的呼吸做功:一项实验台研究
Crit Care. 2006 Feb;10(1):R23. doi: 10.1186/cc3988.
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[The effects of fresh gas flow rate on the work of breathing during semi-closed circuit anesthesia].
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Effects of expiratory flow resistance on inspiratory work of breathing.呼气气流阻力对呼吸吸气功的影响。
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[The effect of fresh gas flow on the minute volume of anesthesia ventilators with a gas reservoir].[新鲜气流对带储气罐的麻醉呼吸机分钟通气量的影响]
Anaesthesist. 1990 Jul;39(7):382-3.
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Efficacy of pressure support in compensating for apparatus work.压力支持在补偿器械做功方面的疗效。
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Do new anesthesia ventilators deliver small tidal volumes accurately during volume-controlled ventilation?新型麻醉呼吸机在容量控制通气期间能否准确输送小潮气量?
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引用本文的文献

1
Mapleson's Breathing Systems.梅普里森呼吸装置
Indian J Anaesth. 2013 Sep;57(5):507-15. doi: 10.4103/0019-5049.120148.
2
Anaesthesia breathing circuits.麻醉呼吸回路
Can Anaesth Soc J. 1986 Jan;33(1):98-105. doi: 10.1007/BF03010918.