Investigation into the patterns of respiratory heat and moisture exchange in intubated patients, under general anaesthesia, is detailed. This paper gives the inspiratory and expiratory temperatures and humidities found in a non-rebreathing circuit near the valve and near the trachea. A model lung was constructed to control and determine factors which have been implicated in playing a major part in heat and moisture homeostasis within the respiratory tract. Laboratory and clinical results are compared.
References
1.
BaetjerA. M. (1967): “Effect of temperature and vapour pressure on cilia—mucus clearance rate”, J. Appl. Physiol., 23, 498.
2.
BurtonJ. D. K. (1962): “Effects of dry anaesthetic gases in the respiratory mucous membrane”, Lancet, 1, 235.
3.
ChaseM. F., KilmoreM. A., and TrottaR. (1961): “Respiratory water loss via anaesthesia systems. Mask breathing”, Anaesthesiol., 22, 205.
4.
DeryR., PelletierJ., JacquesA., ClauetM., and HoudeJ. J. (1967): “Humidity in anaesthesiology. H. Evolution of heat and moisture in large carbon dioxide absorbers”, Canad. Anaesth. Soc. J., 14, 205.
5.
DeryR., PelletierJ., JacquesA., ClauetM., and HoudeJ. J. (1967b): “Humidity in anaesthesiology. III. Heat and moisture patterns in the respiratory tract during anaesthesia with the semi-closed system”, Canad. Anaesth. Soc. J., 14, 287.
6.
DeryR. (1971): “Humidity in anesthesiology. IV. Determination of the alveolar humidity and temperature in the dog”, Canad. Anaesth. Soc. J., 18, 145.
7.
Editorial (1970): “Humidification”, Brit. J. Anaesth., 42, 271.
8.
HanY. H., and LoweH. J. (1968): “Humidification of inspired air”, J. Amer. Med. Ass., 205, 91.
9.
IngelstedtS. (1956): “Studies on the conditioning of air in the respiratory tract”, Acta Oto. Suppl., 131, 7.
10.
JonesR., BaetjerA. M., and ReidL. (1971): “Effect of extremes of temperature and humidity on the goblet cell count in the rat airway epithelium”, Brit. J. Indust. Med., 28, 369.
11.
WhitbyJ. D., and DunkinL. J. (1969): “Temperature differences in the oesophagus; the effects of intubation and ventilation”, Brit. J. Anaesth., 41, 615.