Artificial expansion of the newborn human lung.
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Biomedical subjects
Publications and source records attributed to W W Mapleson.
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Air was "breathed" in the laboratory through a heated-water humidifier and a breathing tube. Several different humidifiers and tubes were used. The temperature rise of the air on passing through the humidifier and the temperature drop on passing through the tube were measured. Both were dependent on ventilation. Insulating the tube and humidifier together with the insertion of baffles in the latter reduced the rise and fall and their dependence on ventilation. With suitable design the dependence on ventilation and the need to use high water temperatures could be greatly reduced. In addition, a thermostat with a reduced dead zone is needed.
Theory and experiment showed that samples of blood and water stored in 2-ml and 5-ml syringes made of polypropylene, polystyrene, or S.A.N. co-polymer exchanged oxygen with their surroundings. In the first hour the exchange was due mainly to equilibration with the plastic of the syringe and only in small degree to permeation through the plastic. With high initial tension or with blood of low haemoglobin concentration the exchange can result in errors in Po(2) of up to 6% in two minutes and 16% in 30 to 60 minutes. With all-glass syringes the exchange was much slower but, even so, after 24 hours was important in all but a few of 18 interchangeable glass syringes. Therefore unless analysis can be started immediately all-glass syringes are to be preferred, and for prolonged storage even these should be selected.
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