Predicted normocapnea in infants and children using the Bain circuit with controlled ventilation.

Abstract:

:We have constructed a nomogram for fresh gas flow (VFG) and minute ventilation (VE) for paediatric anaesthesia during controlled ventilation using the Bain coaxial Mapleson D circuit. VFG was based upon the assumption of a high fresh gas utilization because of a low VFG/VE ratio (0.67) and known figures of carbon dioxide elimination. The formulas VFG = 27.8 x VCO2 and VE = 1.5 x VFG were used to calculate the necessary flows to generate normocapnea. The nomogram was evaluated in 59 children (6-62 kg, age 5 months-14 years). PaCO2 (mean +/- s.d.) was 5.0 +/- 0.5 kPa (38 +/- 4 mmHg) with a total range of 3.9-6.3 kPa (29-47 mmHg). Ninety percent of the children had a PaCO2 of 5.7 kPa (43 mmHg) or lower. There was no correlation between body weight and PaCO2. Hence, there was no difference in mean values between children below or above a body weight of 20 kg.

authors

Jonsson LO,Bain JA,Lee R

doi

10.1111/j.1399-6576.1990.tb03081.x

subject

Has Abstract

pub_date

1990-05-01 00:00:00

pages

257-62

issue

4

eissn

0001-5172

issn

1399-6576

journal_volume

34

pub_type

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