Rebreathing in the Mapleson A, C and D breathing systems with sinusoidal and exponential flow waveforms

被引:4
|
作者
Cook, LB [1 ]
机构
[1] Royal Oldham Hosp, Dept Anaesthesia, Oldham OL1 2JH, England
关键词
equipment; anaesthetic breathing systems;
D O I
10.1111/j.1365-2044.1997.246-az0388.x
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
The degree of rebreathing in Mapleson A, C and D breathing systems for sinusoidal and exponential flow waveforms is analysed mathematically. The effects of altering the I:E ratio and of introducing an expiratory pause are investigated. The results for sinusoidal waveform closely resemble those for a square wave. Exponential flow waveforms produce results similar to triangular flow waveforms. The Mapleson A system is always the most efficient. The Mapleson C system is efficient when the I:E ratio is 1:1, becoming less efficient with longer expiration and very inefficient with an expiratory pause. The Mapleson D system becomes efficient when the expiratory pause is long.
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页码:1182 / 1194
页数:13
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