ASSESSMENT OF NEONATAL VENTILATOR PERFORMANCES

被引：8

作者：

JOUVET, P ^{[1
]}

HUBERT, P ^{[1
]}

JARREAU, PH ^{[1
]}

LOFASO, F ^{[1
]}

CLOUP, M ^{[1
]}

HARF, A ^{[1
]}

机构：

[1] HOP HENRI MONDOR,DEPT PHYSIOL,INSERM,U296,F-94010 CRETEIL,FRANCE

来源：

INTENSIVE CARE MEDICINE | 1995年 / 21卷 / 09期

关键词：

ARTIFICIAL VENTILATION; PEDIATRIC INTENSIVE CARE; POSITIVE END-EXPIRATORY PRESSURE;

D O I：

10.1007/BF01704743

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Objective: To analyze efficiency and reliability of 4 modern neonatal ventilators;under difficult test conditions. The ventilators tested were: Babylog 8000 (Drager Medical), BP 2001 (Bear Medical Systems), Sechrist IV 100 B (Sechrist Industries), Infant Star (Infrasonics INC). Measurements and results: Gas flow generation was tested by comparison of preset flow values with no resistance in the circuit to flow values obtained during interposition of a resistance in the inspiratory circuit. A decrease in gas flow was observed when interposition of a resistance in the inspiratory circuit increased peak inspiratory pressure to 60 cmH(2)O (gas flow decreased by 8% to 24% depending on the ventilator tested). The pressure limiting valve and the positive end-expiratory pressure valve were also evaluated in order to test their behaviour under different flow conditions. Flow-dependence of the pressure was noted for all ventilators except Babylog 8000. Assessment of the reliability of pressure monitoring revealed either 'under' or 'over' estimation of peak inspiratory pressure and positive end-expiratory pressure depending on the ventilator tested. Conclusion: For the best clinical use of mechanical ventilators, neonatologists should be aware of these limitations. Therefore a regular assessment of ventilator performance and monitoring reliability is recommended.

引用

页码：753 / 758

页数：6

共 11 条

[1] TEST OF 20 SIMILAR INTENSIVE-CARE VENTILATORS IN DAILY USE CONDITIONS - EVALUATION OF ACCURACY AND PERFORMANCES [J].

BEYDON, L ;

LIU, N ;

HASSAPOPOULOS, J ;

RUA, F ;

BONNET, F ;

HARF, A ;

DUVALDESTIN, P .

INTENSIVE CARE MEDICINE, 1992, 18 (01) :32-37

[2]

CARLO WA, 1983, PEDIATR CLIN N AM, V10, P221

[3] METHODS OF ASSESSMENT AND FINDINGS REGARDING PULMONARY-FUNCTION IN INFANTS LESS THAN 1000 GRAMS [J].

CUNNINGHAM, MD ;

DESAI, NS .

CLINICS IN PERINATOLOGY, 1986, 13 (02) :299-313

[4]

FLYNN JT, 1987, PEDIATR CLIN N AM, V34, P1487

[5] FACTORS INFLUENCING MECHANICAL PERFORMANCE OF NEONATAL HIGH-FREQUENCY VENTILATORS [J].

FREDBERG, JJ ;

GLASS, GM ;

BOYNTON, BR ;

FRANTZ, ID .

JOURNAL OF APPLIED PHYSIOLOGY, 1987, 62 (06) :2485-2490

[6] SOME INFANT VENTILATORS DO NOT LIMIT PEAK INSPIRATORY PRESSURE RELIABLY DURING ACTIVE EXPIRATION [J].

KIRPALANI, H ;

SANTOSLYN, R ;

ROBERTS, R .

CRITICAL CARE MEDICINE, 1988, 16 (09) :880-883

[7]

MARINI JJ, 1985, AM REV RESPIR DIS, V131, P850

[8] INSPIRATORY WORK AND RESPONSE-TIMES OF A MODIFIED PEDIATRIC VOLUME VENTILATOR DURING SYNCHRONIZED INTERMITTENT MANDATORY VENTILATION AND PRESSURE SUPPORT VENTILATION [J].

MARTIN, LD ;

RAFFERTY, JF ;

WETZEL, RC ;

GIOIA, FR .

ANESTHESIOLOGY, 1989, 71 (06) :977-981

[9] BENCH TESTING OF THE CPU-1 VENTILATOR [J].

NUNN, JF ;

LYLE, DJR .

BRITISH JOURNAL OF ANAESTHESIA, 1986, 58 (06) :653-662

[10] PHYSICAL PROPERTIES OF VENTILATORS IN INSPIRATORY PHASE [J].

PESLIN, RL .

ANESTHESIOLOGY, 1969, 30 (03) :315-&

← 1 2 →