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约克逊—瑞斯回路(Jackson—Rees)通气装置为麦氏D型装置改良型.其结构较麦氏D型装置更为简单,使用更方便.我院采用该装置给100例小儿成功地实施全麻,现将体会报道如下.临床资料本组男60例,女40例,年龄9个月～5岁,体重7.5～18.0kg.腹部手术70例,头面部手术20例,其它手术10例.麻醉前用药均为苯巴比妥钠3.0～4.0mg/kg,东莨菪碱0.01mg/kg或阿托品0.02mg/kg肌注.不合作小儿,麻醉前先肌注氯胺酮5.0～7.0mg/kg,后开放静脉,并行股动脉套管针穿刺以抽血作血气分析.静注安定0.2mg/kg或y—羟基丁酸钠(y—OH)80mg/kg,部分患儿加注氯胺酮或行咽喉表面喷雾麻醉后插入气管导管,根据小儿生理死腔量不同,接上螺纹管及呼吸囊容量适当(1.5ml/kg)的Jackson—Rees通气装置.术中间断注入氯胺酮、肌松剂、芬太尼及吸入氯氟醚维持麻醉,并监测脉搏、血压、呼
Jackson-Rees circuit (Jackson-Rees) Ventilation device for the Maxwell’s D-type device improved its structure than the Maxwell’s D-type device is more simple and more convenient to use our hospital to the device to 100 children successfully implemented General anesthesia, the experience will now be reported as follows.Clinical data The group of 60 men and 40 women, aged 9 months to 5 years old, body weight 7.5 ~ 18.0kg.Abdominal surgery in 70 cases, head and face surgery in 20 cases, other surgery in 10 cases Before anesthesia were phenobarbital 3.0 ~ 4.0mg / kg, scopolamine 0.01mg / kg or atropine 0.02mg / kg intramuscular injection.Uncooperative children, before anesthesia ketamine 5.0 ~ 7.0mg / kg, after Open venous, parallel femoral trocar puncture to take blood for blood gas analysis.Astatic stability 0.2mg / kg or y-hydroxybutyrate (y-OH) 80mg / kg, some children with ketamine or throat surface Spray anesthesia after intubation tracheal catheter, according to the amount of physiological dead space, connected to the threaded tube and the appropriate respiratory capacity (1.5ml / kg) Jackson-Rees ventilation device intraoperative intermittent injection of ketamine, muscle relaxants, fentanyl And inhaled chlorofluoro ether to maintain anesthesia, and monitoring pulse, blood pressure, call