Use of Respiratory Care Pressure Preset Ventilator for Pediatric Anesthesia / 대한마취과학회지

ABSTRACT

A study was undertatken to determine whether the pressure preset ventilator such as the Bennett PR-1 or PR-2 that are used for respiratory care in the intensive care unit or in the recovery room after anesthesia could also be used as and anesthetic ventilator for pediatric anesthesia. Maintaining anesthesia with halothane(0.5~1.0%)-N2O(2.51/min)-O2(2.51/min)-pancuronium bromide(0.1mg/kg) and using the Jackson-Rees modified Ayre's T-piece, the reservoir bag was removed from that device and the reservoir tube was connected to the pressure present ventilator. The inspiratpry pressure of the ventilator was fixed at 15cm H2O and the respiratory frequency was controlled at 30/min in 15 patients under 10kg of body weight, and at 25/min in 15 patients weighing 11~17kg. Arterial blood gas tension was measured 30 minutes after ventilator use. The following results were obtained 1) pH 7.28~7.44(7.35+/-0.04) 2) PaCO2 28.4~41.3mmHg(35.4+/-2.9mmHg). 3) PaO2 184.9+/-289.0mmHg(242.7+/-30.5mmHg). 4) HCO2(-) 15.5~23.5mEq/L(19.8+/-1.9mEq/L). 5) B.E. -10.0~-0.6mEq/L(-4.6+/-2.3mEq/L) The above values of arterial blood gas tension showed a normal ranges in all cases. Therefore, it could be assumed that replacing the reservoir bag of the Jackson-Rees modified Ayre's T-piece with the pressure present ventilator is an excellent device for pediatric anesthesia.