Paravicini D, Vietor G
Anasth Intensivther Notfallmed. 1981 Aug;16(4):219-22.
A new semi-closed anaesthetic system for newborns and small infants was developed by slightly modifying the circle system used for adults. The fact that this new system was employed with satisfactory results in anaesthetizing more than 50 children under 20 kilogram bodyweight weakens the argument that semi-closed circuits should be avoided in small children on account of high expiratory resistance, possibility of increased dead space, inefficient CO2 absorption and unpredictable inspiratory oxygen concentration. The advantages and disadvantages of the new system are reviewed.
通过对成人用循环系统稍作修改,研发出了一种用于新生儿和小婴儿的新型半封闭式麻醉系统。该新系统用于为50多名体重不足20公斤的儿童实施麻醉,且效果令人满意,这一事实削弱了以下观点,即由于呼气阻力高、死腔增加的可能性、二氧化碳吸收效率低以及吸气氧浓度不可预测,应避免在小儿中使用半封闭式回路。本文对该新系统的优缺点进行了综述。