Articles: ventilators.
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Three different low pressure cuffed endotracheal tubes (Lanz, Portex soft-seal, Kamen-Wilkinson) were studied in cadaver tracheas and patients in our intensive care unit during ventilation. In the air filled low pressure cuffs without controlled pressure system the cuff pressure and the ventilation pressure are almost identical. Rises of intrathoracic pressure during mechanical ventilation are reflected by increased cuff pressure. Tubes with controlled pressure system or foam-filled cuffs have lower peak cuff pressures, especially during sighing, coughing and suctioning.
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A simple method of diverting anaesthetic waste gases from the Engström ECS-2000 ventilator is described. Unless special precautions are taken the digital volume measurement may be influenced; the simple solution of this problem is given.
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A new ventilator for use during anaesthesia is described. It operates as a minute-volume divider and derives its power from the energy stored in a distended reservoir bag. ⋯ The nature of the inspired gas mixture is known accurately because the internal volume of the ventilator is small and the system is non-rebreathing. The design of the exhaust system facilitates ventilation monitoring, the use of positive end-expiratory pressure and connection to ducted pollution-control systems.