Distribution of expiratory gas and rebreathing in T-piece modifications used in weaning. 1983

F Hartmann-Andersen, and P K Andersen, and J E Olsen, and J Jakubaszko

The simple T-piece is frequently used as a weaning system during respirator treatment. It is modified with an expiratory non-compliant reservoir (EnCR), an inspiratory compliant reservoir (ICR) and/or an expiratory one-way valve. The distribution of expiratory gases and rebreathing were studied in a model set-up in the corresponding systems at different fresh gas flows (FGF) and tidal volumes (VT). An EnCR produces no change, whereas an ICR causes the expiratory gas to flow into the inspiratory limb, an effect which is intensified by the presence of an expiratory valve. With a falling FGF and a rising VT, increasing amounts of expiratory gas are found in the inspiratory limb in the modifications with an ICR. However, this gives rise to rebreathing in the valve modification with a low FGF and high VT. The modification of the T-piece with an ICR but without a one-way valve is advantageous, as this system combines only slight dilution via the expiratory limb and a minimal risk of rebreathing.

UI MeSH Term Description Entries
D011482 Protective Devices Devices designed to provide protection against injury. Safety Devices,Device, Protective,Device, Safety,Devices, Protective,Devices, Safety,Protective Device,Safety Device
D012119 Respiration The act of breathing with the LUNGS, consisting of INHALATION, or the taking into the lungs of the ambient air, and of EXHALATION, or the expelling of the modified air which contains more CARBON DIOXIDE than the air taken in (Blakiston's Gould Medical Dictionary, 4th ed.). This does not include tissue respiration ( Breathing
D012122 Ventilators, Mechanical Mechanical devices used to produce or assist pulmonary ventilation. Mechanical Ventilator,Mechanical Ventilators,Respirators,Ventilators, Pulmonary,Pulmonary Ventilator,Pulmonary Ventilators,Ventilator, Pulmonary,Ventilators,Respirator,Ventilator,Ventilator, Mechanical
D012134 Respiratory Protective Devices Respirators to protect individuals from breathing air contaminated with harmful dusts, fogs, fumes, mists, gases, smokes, sprays, or vapors. Gas Masks,Respirators, Air-Purifying,Respirators, Industrial,Industrial Respirators,Air-Purifying Respirator,Air-Purifying Respirators,Device, Respiratory Protective,Devices, Respiratory Protective,Gas Mask,Industrial Respirator,Mask, Gas,Masks, Gas,Protective Device, Respiratory,Protective Devices, Respiratory,Respirator, Air-Purifying,Respirator, Industrial,Respirators, Air Purifying,Respiratory Protective Device
D001944 Breath Tests Any tests done on exhaled air. Breathalyzer Tests,Breath Test,Breathalyzer Test,Test, Breath,Test, Breathalyzer,Tests, Breath,Tests, Breathalyzer
D002245 Carbon Dioxide A colorless, odorless gas that can be formed by the body and is necessary for the respiration cycle of plants and animals. Carbonic Anhydride,Anhydride, Carbonic,Dioxide, Carbon
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013990 Tidal Volume The volume of air inspired or expired during each normal, quiet respiratory cycle. Common abbreviations are TV or V with subscript T. Tidal Volumes,Volume, Tidal,Volumes, Tidal

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