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[风箱还是气囊?测试10台呼吸机及一些病史评论]

[Bellows or bag? Testing 10 ventilators and some medical history comments].

作者信息

Kötter K P, Maleck W H, Altmannsberger S, Herchet J, Petroianu G A

机构信息

Leopoldina-Krankenhaus der Stadt Schweinfurt.

出版信息

Anaesthesiol Reanim. 1998;23(4):104-9.

PMID:9789367
Abstract

We compared a new bellows ventilator (Kendall Cardiovent) with two other bellows (Dräger Resutator 63, Tagg Breathsaver) and seven bag or ball ventilators (Aerodyne Hope, Ambu Mark 3, Ambu Silicon, Dräger Resutator 2000, Laerdal Resu, Mercury CPR, Weinmann Combibag). Tidal volumes were measured with two Laerdal Recording Resusci Annies, one lying on the floor, one in a bed. Twelve participants performed mask ventilation with all ten devices on both manikins for two minutes, trying to achieve tidal volumes of between 0.8 and 1.21 as recommended by the AHA. The last ten ventilations each on the graphic strips were analysed for volume. The participants scored handling of the devices on a 6-point scale (1 = very good, 6 = insufficient). The results of the Cardiovent were compared to those of the other devices by rank sum test (percentage of correct ventilations) and sign test (subjective handling). The Cardiovent provided exact ventilation with 95% of ventilations) on the floor and 78% of ventilations in bed in the recommended range. However, the percentage of correct ventilations with the Cardiovent was not significantly different to the other devices except for a lower percentage of correct ventilations with the Combibag in the in bed setting. Concerning subjective handling, the Cardiovent was significantly superior to several ball ventilators.

摘要

我们将一种新型风箱式呼吸机(肯德尔心脏呼吸机)与另外两种风箱式呼吸机(德尔格复苏器63、泰格呼吸保护器)以及七种气囊或球囊式呼吸机(航空动力希望型、安布Mark 3、安布硅胶型、德尔格复苏器2000、Laerdal复苏器、美敦力心肺复苏器、魏曼组合袋)进行了比较。潮气量通过两台Laerdal记录型复苏安妮模拟人进行测量,一台放在地上,一台放在床上。12名参与者使用所有这10种设备在两个模拟人上进行面罩通气两分钟,试图按照美国心脏协会的建议实现0.8至1.2升之间的潮气量。对图形条上的最后十次通气进行了体积分析。参与者对设备的操作以6分制进行评分(1 = 非常好,6 = 不足)。通过秩和检验(正确通气的百分比)和符号检验(主观操作)将心脏呼吸机的结果与其他设备的结果进行比较。心脏呼吸机在地上进行的通气中有95%、在床上进行的通气中有78%在推荐范围内提供了精确通气。然而,除了在床上使用组合袋时正确通气的百分比较低外,心脏呼吸机正确通气的百分比与其他设备没有显著差异。在主观操作方面,心脏呼吸机明显优于几种球囊式呼吸机。

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