Germain M, Wahba W M, Gillies D M
Can Anaesth Soc J. 1982 Mar;29(2):100-4. doi: 10.1007/BF03007984.
We measured occlusion pressure, tidal volume, frequency, and the duration of the ventilatory phases in twenty-eight patients before and immediately after induction of anaesthesia by thiopentone. From these measurements we derived mean inspiratory flow rate and "effective" impedance to flow. Occlusion pressure was generally, but not universally, less after induction. Mean inspiratory flow rate was reduced due to a combination of smaller tidal volume and shorter duration of inspiration. This was noted in all twenty-eight patients, as was a clearcut increase in "effective" impedance to flow. These results suggest an important mechanical component to the reduced ventilation noted following induction of general anaesthesia.
我们在28例患者中,于硫喷妥钠诱导麻醉前及诱导后即刻测量了闭塞压、潮气量、频率及通气时相的持续时间。根据这些测量结果,我们得出了平均吸气流量和“有效”气流阻抗。诱导后闭塞压通常(但并非普遍)降低。由于潮气量减小和吸气持续时间缩短,平均吸气流量降低。这在所有28例患者中均有体现,“有效”气流阻抗也明显增加。这些结果提示,全身麻醉诱导后通气减少存在重要的机械因素。