Supplementary oxygen and the laryngeal mask airway : Evaluation of a heat-and-moisture exchanger
Heat-and-moisture exchangers (HMEs) are routinely used in anaesthesia for the humidification and warming of inspired gases. The use of the Laryngeal Mask Airway (LMA) is widespread, and many anaesthetists choose to leave it in situ until the patient regains consciousness. In this study, we have inve...
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Veröffentlicht in: | Anaesthesia and intensive care 1999-10, Vol.27 (5), p.509-511 |
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description | Heat-and-moisture exchangers (HMEs) are routinely used in anaesthesia for the humidification and warming of inspired gases. The use of the Laryngeal Mask Airway (LMA) is widespread, and many anaesthetists choose to leave it in situ until the patient regains consciousness. In this study, we have investigated the effectiveness of an HME as a means of administering supplemental oxygen via LMA in the immediate postoperative period. Oxygen was administered at varying flow rates via the gas sampling port of the HME and the oxygen delivery recorded, using end-tidal oxygraphy as a measure of alveolar PO2. At an oxygen flow rate of 4 l.min-1, the HME provided a mean end-tidal oxygen concentration of 36.2% (+/- 6.2), which compares favourably to other previously described devices. The HME thus represents a convenient, effective and economical means of oxygen supplementation via the LMA. |
doi_str_mv | 10.1177/0310057X9902700513 |
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The HME thus represents a convenient, effective and economical means of oxygen supplementation via the LMA.</description><identifier>ISSN: 0310-057X</identifier><identifier>EISSN: 1448-0271</identifier><identifier>DOI: 10.1177/0310057X9902700513</identifier><identifier>PMID: 10520393</identifier><identifier>CODEN: AINCBS</identifier><language>eng</language><publisher>Edgecliff: Anaesthesia and Intensive Care</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Anesthesia ; Anesthesia Recovery Period ; Anesthesia. Intensive care medicine. Transfusions. 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At an oxygen flow rate of 4 l.min-1, the HME provided a mean end-tidal oxygen concentration of 36.2% (+/- 6.2), which compares favourably to other previously described devices. The HME thus represents a convenient, effective and economical means of oxygen supplementation via the LMA.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anesthesia</subject><subject>Anesthesia Recovery Period</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Anesthesia: equipment, devices</subject><subject>Biological and medical sciences</subject><subject>Female</subject><subject>Humans</subject><subject>Humidity</subject><subject>Laryngeal Masks</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Oxygen Inhalation Therapy - instrumentation</subject><subject>Oxygen Inhalation Therapy - methods</subject><subject>Temperature</subject><issn>0310-057X</issn><issn>1448-0271</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNpl0F1LHDEUBuBQlLra_oFeSCjSu9GcZDLJ9E7E2oLghS14N57NnLhj52ObzOjuv2-WXVD0Kh887-HwMvYFxCmAMWdCgRDa3JWlkCbdQH1gM8hzm6U37LHZBmQbccAOY3wUAkpp9Ed2AEJLoUo1Y_e303LZUkf9iGHNh9X6gXqOfc3HBfE2_fUPhC3vMP7l2IRnXPPv_PIJ2wnHZuj54DnyBeGYpVDWDU0cp0CcVm6BKRo-sX2PbaTPu_OI_flx-fviZ3Z9c_Xr4vw6c9KaMfOFkS6XZIucaotYUCFA1uhy0CV6bxU4V5dS5xakRVBqbo0Hp622ypNVR-zbdu4yDP8mimPVNdFR22JPwxQrI6wyUMgEv76Bj8MU-rRbJWVuc61FkZDcIheGGAP5ahmaLrVRgag25Vfvy0-h493kad5R_SqybTuBkx3A6LD1AXvXxBdXWm2KQv0HjJSLeQ</recordid><startdate>19991001</startdate><enddate>19991001</enddate><creator>ORME, R. 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M. L</au><au>WILLIAMS, M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Supplementary oxygen and the laryngeal mask airway : Evaluation of a heat-and-moisture exchanger</atitle><jtitle>Anaesthesia and intensive care</jtitle><addtitle>Anaesth Intensive Care</addtitle><date>1999-10-01</date><risdate>1999</risdate><volume>27</volume><issue>5</issue><spage>509</spage><epage>511</epage><pages>509-511</pages><issn>0310-057X</issn><eissn>1448-0271</eissn><coden>AINCBS</coden><abstract>Heat-and-moisture exchangers (HMEs) are routinely used in anaesthesia for the humidification and warming of inspired gases. The use of the Laryngeal Mask Airway (LMA) is widespread, and many anaesthetists choose to leave it in situ until the patient regains consciousness. In this study, we have investigated the effectiveness of an HME as a means of administering supplemental oxygen via LMA in the immediate postoperative period. Oxygen was administered at varying flow rates via the gas sampling port of the HME and the oxygen delivery recorded, using end-tidal oxygraphy as a measure of alveolar PO2. At an oxygen flow rate of 4 l.min-1, the HME provided a mean end-tidal oxygen concentration of 36.2% (+/- 6.2), which compares favourably to other previously described devices. The HME thus represents a convenient, effective and economical means of oxygen supplementation via the LMA.</abstract><cop>Edgecliff</cop><pub>Anaesthesia and Intensive Care</pub><pmid>10520393</pmid><doi>10.1177/0310057X9902700513</doi><tpages>3</tpages></addata></record> |
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subjects | Adolescent Adult Aged Aged, 80 and over Anesthesia Anesthesia Recovery Period Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Anesthesia: equipment, devices Biological and medical sciences Female Humans Humidity Laryngeal Masks Male Medical sciences Middle Aged Oxygen Inhalation Therapy - instrumentation Oxygen Inhalation Therapy - methods Temperature |
title | Supplementary oxygen and the laryngeal mask airway : Evaluation of a heat-and-moisture exchanger |
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