Defekter Innenschlauch eines koaxialen Beatmungsschlauchsystems

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• 作者：Dr. J.-H. Günther DESA (1)
  P. B?rning (1)
  L. Bahlmann (1)
  
• 关键词：An?sthesie ; geschlossener Kreislauf ; Respiratorische Acidose ; Maligne Hyperthermie ; Ger?tefehler ; Kapnographie ; Anesthesia ; closed circuit ; Respiratory acidosis ; Malignant hyperthermia ; Equipment failure ; Capnography
• 刊名：Der Anaesthesist
• 出版年：2013
• 出版时间：March 2013
• 年：2013
• 卷：62
• 期：3
• 页码：197-200
• 全文大小：366KB
• 参考文献：1. Bain JA (1982) The Bain anaesthesia circuit. Int Anesthesiol Clin 20:149-57 CrossRef
  2. Georgiou AP, Gouldson S, Amphlett AM (2010) The use of capnography and the availability of airway equipment on Intensive Care Units in the UK and the Republic of Ireland. Anaesthesia 65:462-67 CrossRef
  3. Ghai B, Makkar JK, Bhatia A (2006) Hypercarbia and arrhythmias resulting from faulty Bain circuit: a report of two cases. Anesth Analg 102:1903-904 CrossRef
  4. Jellish WS, Nolan T, Kleinmann B (2001) Hypocapnia related to a faulty adult co-axial breathing circuit. Anesth Analg 93:973-74 CrossRef
  5. Jouan ZT, Jawan B, Lee JH (1995) Hypercarbia induced by detachment of inner fresh gas delivery tube of the Bain circuit -a case report. Acta Anaesthesiol Sin 33:129-32
  6. Singh I, Gupta M, Singh TK (2011) Hypercapnia resulting from a faulty co-axial (Bain) circuit. Indian J Anaesth 55:402-04 CrossRef
  
• 作者单位：Dr. J.-H. Günther DESA (1)
  P. B?rning (1)
  L. Bahlmann (1)
  
  1. Institut für An?sthesie und Intensivmedizin, Katholische Hospitalvereinigung Weser-Egge gGmbH, Brenkh?userstr. 71, 37671, H?xter, Deutschland
  
• ISSN：1432-055X

文摘

This article presents the case of a patient with massive postoperative hypercapnia during mechanical ventilation in the intensive care unit (ICU). With normal tidal volumes and clearly visible chest movements, adequate findings with regard to auscultation, oxygenation and correct respirator settings, no cause for the increasing hypercapnia was initially found; however, replacement of the respirator led to a return to normal carbon dioxide levels. When checking the replaced respirator a service technician found the cause of the respirator failure: the internal tube of the co-axial ventilation system was faulty leading to an increased dead space and rebreathing of carbon dioxide.