Bednarski R M, Gaynor J S, Muir W W
Department of Veterinary Clinical Sciences, Ohio State University, Columbus 43210.
J Am Vet Med Assoc. 1993 Mar 15;202(6):943-8.
An in-circuit vaporizer for delivery of isoflurane was evaluated. The isoflurane concentration within an isolated circle breathing circuit was determined for 1 hour in 6 in-the-circuit vaporizers with the wicks removed. A mechanical ventilator and artificial lung were connected to the circuit. Isoflurane concentration increased as vaporizer setting increased, and delivered concentration (%) at 60 minutes (mean +/- SEM) ranged from 0.46 +/- 0.10 at tap setting 1 to 3.67 +/- 0.30 at setting 5. Temperature of the isoflurane did not change. Cardiovascular and respiratory function were maintained within a clinically acceptable range in 6 dogs anesthetized with thiamylal and maintained with 1.87% end-tidal isoflurane delivered from the in-circuit vaporizer during spontaneous ventilation, controlled ventilation, and closed-circuit anesthesia. The range of vaporizer tap settings (mean +/- SEM) was lower during closed-system anesthesia (2.5 +/- 0.1 to 3.5 +/- 0.6) and during controlled ventilation (2.6 +/- 0.2 to 3.3 +/- 0.2) than during semi-closed system anesthesia (5.4 +/- 0.3 to 6.8 +/- 0.4). The in-circuit vaporizer was used to deliver isoflurane to 36 dogs anesthetized for a variety of surgical and medical procedures. Ventilation was spontaneous, assisted, and in 1 instance, controlled. Cardiovascular function, respiratory function, and recovery times were within clinically acceptable ranges. The initial vaporizer tap setting (mean +/- SEM) was 8.2 +/- 0.4, and this corresponded to an end-tidal isoflurane concentration of 3.5 +/- 0.6. The range of vaporizer settings during the maintenance phase (mean +/- SEM) was 2.8 +/- 0.5 to 4.6 +/- 1.9.(ABSTRACT TRUNCATED AT 250 WORDS)
对一种用于输送异氟烷的在线蒸发器进行了评估。在6个移除了灯芯的在线蒸发器中,对隔离循环呼吸回路内的异氟烷浓度进行了1小时的测定。将一台机械通气机和人工肺连接到回路中。异氟烷浓度随蒸发器设置的增加而升高,在60分钟时(平均值±标准误)输送浓度(%)范围从旋钮设置1时的0.46±0.10到设置5时的3.67±0.30。异氟烷的温度没有变化。在用硫喷妥钠麻醉并用在线蒸发器输送1.87%的呼气末异氟烷维持麻醉的6只犬中,在自主通气、控制通气和闭合回路麻醉期间,心血管和呼吸功能维持在临床可接受范围内。在闭合系统麻醉期间(2.5±0.1至3.5±0.6)和控制通气期间(2.6±0.2至3.3±0.2),蒸发器旋钮设置范围(平均值±标准误)低于半闭合系统麻醉期间(5.4±0.3至6.8±0.4)。该在线蒸发器用于向36只因各种外科和医疗程序而麻醉的犬输送异氟烷。通气方式为自主通气、辅助通气,在1例中为控制通气。心血管功能、呼吸功能和恢复时间均在临床可接受范围内。蒸发器初始旋钮设置(平均值±标准误)为8.2±0.4,这对应于3.5±0.6的呼气末异氟烷浓度。维持阶段蒸发器设置范围(平均值±标准误)为2.8±0.5至4.6±1.9。(摘要截短于250字)