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Design and validation of an automatic metabolic monitor
Authors:B. W. A. Feenstra  W. P. J. Holland  J. J. B. van Lanschot  H. A. Bruining
Affiliation:(1) Intensive Care Unit, Department of Surgery, Erasmus University, Rotterdam, The Netherlands;(2) Research and Development Unit, Central Construction Department, Erasmus University, Rotterdam, The Netherlands;(3) University Hospital, Dijkzigt, The Netherlands;(4) Intensive Care Unit Department of Surgery, University Hospital Dijkzigt, Dr Molewaterplein 40, NL-3015 GD Rotterdam, The Netherlands
Abstract:
A self-calibrating fully automatic instrument for the measurement of oxygen consumption, carbon dioxide production and the respiratory quotient of mechanically ventilated patients has been developed. The instrument is based on commercially available conventional oxygen and carbon dioxide gas analysers and a domestic natural gas volumetric flow meter. The distribution of the different gas flows, i.e. calibration gases, the inspiratory mixture sample and the expiratory mixture sample, are controlled by in inexpensive microprocessor, which also performs the necessary calculations. The accuracy of the instrument has been validated by bench tests. The present prototype has been in use for over 3000 h without major failures.
Keywords:Oxygen uptake  Carbon dioxide output  Respiratory monitoring  Indirect calorimetry  Continuous recording  Mechanical ventilation
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