Marraro G, Serafini G, Galbiati A
Servizio di Anestesia e Rianimazione, Ospedale Fatebenefratelli ed Oftalmio, Milano.
Minerva Anestesiol. 1996 Apr;62(4):131-6.
The authors describe the advantages and disadvantages, the indications and benefits on gas exchange as a result of mechanical ventilation during anaesthesia. The two models of ventilation most commonly used have been analyzed: pressure ventilators and volume preset ventilators. The former are used only in cases of short-term anaesthesia or when volume ventilators are not available. Both the most appropriate settings and ventilatory modes have been discussed regarding different paediatric ages. Particular attention has been given to the oxygen concentration in the ventilated gases (oxygen toxicity > 40%) and to barotrauma connected with high peak pressure (> 30 cm H2O). The authors suggest the type and caliber of endotracheal tube and the tidal volume for paediatric ages.
作者描述了麻醉期间机械通气的优缺点、气体交换的指征及益处。分析了最常用的两种通气模式：压力通气机和容量预设通气机。前者仅用于短期麻醉或没有容量通气机的情况。针对不同年龄段的儿童，讨论了最合适的设置和通气模式。特别关注了通气气体中的氧浓度（氧中毒>40%）以及与高峰压（>30 cm H₂O）相关的气压伤。作者提出了不同年龄段儿童气管内导管的类型和管径以及潮气量。
