Pirkl H J, Metzler H, List W F
Anaesthesist. 1978 Aug;27(8):376-9.
In 21 patients undergoing abdominal surgery a modified Mapleson D-(Bain-)system was used under controlled ventilation. An average endexpiratory CO2 of 40 mm Hg was measured at a flow of 70 ml/kg kontinuierlich registrierten endexspiratoritimes these values were stable. In some patients without evident metabolic disturbances we found the CO2 values at borderline or even pathologic. So an increased flow rate of 100 ml/kg is recommended.
在21例接受腹部手术的患者中,在控制通气下使用了改良的Mapleson D型(贝恩型)系统。在70毫升/千克的流量下,平均呼气末二氧化碳分压为40毫米汞柱,连续记录的呼气末时间这些值是稳定的。在一些没有明显代谢紊乱的患者中,我们发现二氧化碳值处于临界甚至病理状态。因此,建议将流速提高到100毫升/千克。