人工的な空気ポケットを使用して,雪埋葬中の呼吸
C K Grissom1, M I Radwin, C H Harmston
1Pulmonary Division, LDS Hospital, University of Utah, Salt Lake City 84143, USA. ldcgriss@ihc.com
JAMA
|May 12, 2000
まとめ
雪崩埋葬の生存のための新しい装置は,二酸化炭素 (CO2) レベルを管理することによって,呼吸時間を大幅に延長します. この人工的な空気ポケットシステムは,標準的な方法と比較して酸素供給を向上させ,雪崩の被害者に希望を与えます.
科学分野:
- 雪崩による安全性研究
- 呼吸器生理学 呼吸器生理学とは
- 生存器具の開発・開発について
背景:
- 窒息は,雪崩埋葬における主要な死因です.
- 新しい装置は,人工空気のポケットの中で,切れた二酸化炭素 (CO2) を管理することによって,生存率を改善することを目的としています.
研究 の 目的:
- CO2を誘導する人工空気のポケット装置となく,雪埋葬中の酸素化と換気期間を比較するために.
主な方法:
- フィールド研究では,雪に埋もれた8人のボランティアを対象に,装置の有無で呼吸器のパラメータを測定した.
- 埋葬の期間は,被験者の要求により制限され,SpO2が84%以下になるか,または60分.
主要な成果:
- この装置は埋葬時間を平均58分に延長し,埋葬なしでは10分だった (P=.001).
- 酸素飽和度 (SpO2) は,デバイスでより長く適切なままであり,二酸化炭素濃度 (ETCO2,PICO2) は,対照群と比較して低かった.
結論:
- この装置は,ハイパーキャプニアを誘発したにもかかわらず,雪の埋葬中に十分な酸素供給を大幅に延長します.
- この装置が雪崩の生存率を改善するかどうかを確認するために,さらなる研究が必要である.
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