開発途上国においてホース式リザーバー付きディスポーザブル蘇生バックを使用した麻酔経験 Usefulness of disposable bag-valve resuscitator (PLUMANEX^<TM>) during general anesthesia in developing countries

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開発途上国での麻酔は,電源,酸素ボンベの使用に制限があり,一般的に用いられている麻酔器や人工呼吸器の使用が難しい.今回,ネパール王国での医療協力で,小児用アンビューバックTMが破損しジャクソンリース回路で麻酔管理を行ったが,(1)酸素使用量が多い,(2)終末呼気二酸化炭素分圧が高い,(3)吸入酸素濃度が安定しないなどの問題が明らかとなった.その後,後発隊が持参したホース式リザーバー付ディスポーザブル蘇生バック(プルマネックスTM)を用いたところ,前述の問題が解消された.ホース式リザーバー付きディスポーザブル蘇生バックは,途上国での麻酔管理において有用であると考えられた.

In the developing countries, the poor supplies of oxygen, anesthetic gas and electric power make it difficult to anesthetize patients in the ordinary fashion.<br>In our past medical activities in Nepal and Cambodia, we practiced intravenous balanced anesthesia technique with air, oxygen and manual bag ventilation.<br>In this report, we compare three relatively simple respiratory devices such as Ambu-bagTM. Jackson -Rees circuit, and disposable bag-valve resuscitator to maintain artificial ventilation during balanced general anesthesia. We measured the level of patient end tidal CO<sub>2</sub> (ETCO<sub>2</sub>), inspired oxygen concentration (FiO<sub>2</sub>), peripheral oxygen saturation (SpO<sub>2</sub>) and the required oxygen volume during anesthesia. Only SpO<sub>2</sub> was maintained at a desirable level in all devices, but high ETCO<sub>2</sub>, unstable FiO<sub>2</sub> and a high required oxygen volume was observed in the Jackson-Rees circuit. Respiratory accidents, such as dislocation or kinking of the respiratory circuit, were detected more easily in the disposable bag-valve resuscitator than in Ambu-bagTM due to the softness of the bag of the former.<br>We concluded that disposable bag-valve resuscitators are an excellent device for the management of general anesthesia in developing countries.

収録刊行物

  • 日本臨床麻酔学会誌 = The Journal of Japan Society for Clinical Anesthesia

    日本臨床麻酔学会誌 = The Journal of Japan Society for Clinical Anesthesia 23(9), 284-288, 2003-11-15

    THE JAPAN SOCIETY FOR CLINICAL ANESTHESIA

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各種コード

  • NII論文ID(NAID)
    10012548623
  • NII書誌ID(NCID)
    AN00330159
  • 本文言語コード
    JPN
  • 資料種別
    SHO
  • ISSN
    02854945
  • データ提供元
    CJP書誌  J-STAGE 
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