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Pulmonary ventilation by continuous flow using a modified Carlen's tube

 

作者: MIHIR CHAKRABARTI,   JAMES WHITWAM,  

 

期刊: Critical Care Medicine  (OVID Available online 1984)
卷期: Volume 12, issue 4  

页码: 354-354

 

ISSN:0090-3493

 

年代: 1984

 

出版商: OVID

 

数据来源: OVID

 

摘要:

Carlen's tubes were modified by introducing a manometer line into each lumen to allow both bronchi to be insufflated continuously. During such continuousflow ventilation (CFV) with a gas flow of 1 L/kg body weight min in 6 anesthetized dogs, both CO2and O2homeostasis were maintained. By contrast, during apneic oxygenation the mean Paco2rose by approximately 6 torr/min. After 12 min of apneic oxygenation the introduction of CFV at 1 L/kg min reduced the mean Paco2from 120 to 38 torr within 6 to 9 min; by 15 to 30 min the Paco2was stable at 33 torr. The mean Pao2was stable at 80 torr and 451 torr using air and oxygen, respectively, as the insufflating gas. When the CFV was reduced to 0.75 L/kg ± min, there was a rise in mean Paco2from 34 to 53 torr in 12 min; Paco2was then reduced to 40 torr when 4 breath/min was introduced with a mean tidal volume of 375 ml.

 

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