Cazalaà J B, Murat I, Servin F, Dalens B
Département d'anesthésie, hôpital Necker, Paris, France.
Ann Fr Anesth Reanim. 1998;17(5):372-84. doi: 10.1016/s0750-7658(98)80055-5.
In addition to the circle breathing system, which represents the main circuit of the anaesthetic machine, the use of an accessory breathing system (ABS), either a partial rebreathing system according to Mapleson's classification, or a system including a non-rebreathing valve, is appropriate for the anaesthetic management of many patients, depending on their physical status, age, indication and duration of surgery. The same safety rules, namely full checking procedure before use of the system and monitoring of inhaled gases and end-tidal CO2 must be applied as for the main circle system. Potential complications resulting from non compliance with these rules cannot be considered valuable reasons for denying the use of breathing systems that have safely been used for decades in millions of patients.
除了代表麻醉机主回路的环路呼吸系统外，使用辅助呼吸系统（ABS），即根据梅普勒索恩分类法的部分再呼吸系统，或包括无再呼吸阀的系统，对于许多患者的麻醉管理是合适的，这取决于他们的身体状况、年龄、手术指征和持续时间。与主环路系统一样，必须应用相同的安全规则，即在使用该系统前进行全面检查程序以及监测吸入气体和呼气末二氧化碳。因不遵守这些规则而导致的潜在并发症，不能被视为拒绝使用已在数百万患者中安全使用数十年的呼吸系统的有力理由。
