An evaluation of the physical and functional characteristics of resuscitators for use in pediatrics
作者:
NIRANJAN KISSOON,
RUTH CONNORS,
NORMAN TIFFIN,
TIMOTHY FREWEN,
期刊:
Critical Care Medicine
(OVID Available online 1992)
卷期:
Volume 20,
issue 2
页码: 292-296
ISSN:0090-3493
年代: 1992
出版商: OVID
关键词: pediatrics;tidal volume;respiratory failure;resuscitation;hyperventilation;stroke volume;ventilation;critical care;respiratory therapy;oxygen
数据来源: OVID
摘要:
ObjectiveTo evaluate the physical and functional characteristics of pediatric self-inflating resuscitators.DesignTested under simulated clinical conditions. Results were analyzed by descriptive analysis.SettingA pulmonary laboratory in a university hospital.MethodsEight new pediatric self-inflating resuscitators were obtained from the manufacturers and evaluated for functional characteristics including: a) fraction of delivered oxygen at 10 L/min and a tidal volume of 300 mL; b) maximum stroke volume against no resistance; and c) maximum cycling frequency at −5°C, 20°C, and 48°C. The resuscitators were also evaluated for physical characteristics, including potential for misassembly, pressure relief valves, expiratory valve leak, and inspiratory resistance.ResultsAll resuscitators met the minimum standards of the Canadian Standards Association and American Standards for Testing of Materials. However, one bag cycled at only 32 breaths/min at-5°C, marginally within accepted standards. Only five self-inflating resuscitators had pop-off valves. These valves malfunctioned, with valve activation occurring well above the accepted standards. Three of the self-inflating resuscitators could be misassembled for use. Four of the resuscitators were unable to deliver tidal volumes required for preoxygenation in a 20-kg child.ConclusionsWhile these self-inflating resuscitators met the minimum standards, they are all unable to deliver 100% oxygen. One unit is probably not appropriate in the out-of-hospital setting when ambient temperatures are
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