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[三种二氧化碳吸收剂对高浓度七氟醚的反应差异]

[Differential reactivities of three kinds of carbon dioxide absorbents with high concentration of sevoflurane].

作者信息

Nakazawa M, Miyano K, Toriumi K, Tanifuzi Y

机构信息

Department of Anesthesiology, Jikei University School of Medicine, Tokyo.

出版信息

Masui. 1994 Aug;43(8):1216-20.

PMID:7933505
Abstract

The differential reactivities of three kinds of carbon dioxide absorbents, sodalime, Sodalime A and Baralyme with 5% sevoflurane were investigated in a closed system under administration of 5% carbon dioxide. The degradation products in the closed system were determined by gas chromatography and the temperature of the glass container which was filled with each carbon dioxide absorbent was monitored. The degradation products, P1, P3 and P5 were produced by every carbon dioxide absorbents even after one-hour circulation. Especially P3 and P5 were produced by Baralyme more than the others after two or four-hour circulation. The significant differences of the temperature among glass containers were not recognized. Previously we found that the reactivity of Sodalime A is the highest among the three kinds of carbon dioxide absorbents when low concentration of sevoflurane (2 or 3%) is used. Possible explanation for this result is that the increasing temperature of glass container filled with each carbon dioxide absorbent is different from each other, and Sodalime A is the highest. The reactivity was thought to depend on the temperature of glass container. However, with this high concentration of sevoflurane (5%), Baralyme has the highest reactivity. Baralyme contains higher proportion of KOH which has the highest reactivity with sevoflurane than the other constituents of carbon dioxide absorbents. The reactivity of sodalime, Sodalime A and Baralyme with 5% sevoflurane was thought to depend not on their temperature but on their chemical constitutions. These results suggested that the using high concentration sevoflurane with Baralyme should be reconsidered.

摘要

在5%二氧化碳给药条件下,于密闭系统中研究了三种二氧化碳吸收剂(碱石灰、碱石灰A和钡石灰)与5%七氟醚的反应活性差异。通过气相色谱法测定密闭系统中的降解产物,并监测装有每种二氧化碳吸收剂的玻璃容器的温度。即使经过一小时的循环,每种二氧化碳吸收剂都会产生降解产物P1、P3和P5。特别是在两小时或四小时循环后,钡石灰产生的P3和P5比其他吸收剂更多。未发现玻璃容器之间的温度存在显著差异。此前我们发现,当使用低浓度七氟醚(2%或3%)时,碱石灰A在三种二氧化碳吸收剂中的反应活性最高。对此结果的可能解释是,装有每种二氧化碳吸收剂的玻璃容器升温情况各不相同,而碱石灰A升温最高。反应活性被认为取决于玻璃容器的温度。然而,对于这种高浓度的七氟醚(5%)而言,钡石灰的反应活性最高。钡石灰中氢氧化钾的比例高于其他二氧化碳吸收剂成分,而氢氧化钾与七氟醚的反应活性最高。碱石灰、碱石灰A和钡石灰与5%七氟醚的反应活性被认为并非取决于它们的温度,而是取决于它们的化学组成。这些结果表明,使用高浓度七氟醚与钡石灰的情况应重新考虑。

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