表8- 单呼吸冲洗(SBW)测量质量控制
测试位置:所有受试者的坐姿
 In general SBW only feasible in older children and adults ≥12 yrs
界面
 Nose clip and maintain a tight mouthpiece seal
应执行三种技术上可接受的SBW运行,通过以下标准定义可接受性
 Within-test criteria
  No evidence of leak (as described for MBW)
  Inspiratory and expiratory flow maintained between 400 and 500 mL·s-1在测试机动的前四季度的吸气和呼气部分
   Maintaining these flows at end of manoeuvre may be difficult
   Flow restrictors may be useful to maintain desired flow range
  Phase III slope default settings to 25–75% of expired volume
   Manually adjustable to ensure freedom from contamination by phase II, phase IV, and stochastic variations in SIII由低频噪声或心形成振荡引起
  Specific to classical VC SBW manoeuvre
   Inspiratory and expiratory VC breaths within 10% within same test
  Specific to modified SBW manoeuvre
   Stable end expiratory level prior to starting the manoeuvre
    Deviation in end-expiratory lung volume at start of the test within 10% of meanV.T.前五次呼吸
   Inspiratory volume above FRC reaches 1 L within±10%
 Between-test criteria
  Specific to classical VC manoeuvre
  Expiratory VC values within 10% of highest value
  Specific to modified SBW manoeuvre
   Inspiratory volumes within 10% of 1 L
   Expiratory volumes within 10% of each other
  Re-establish baseline inert gas concentration before starting next test
   N2SBW:终点n2集中率返回基线水平
   Exogenous SBW: end-tidal inert gas concentration <1/40 of inspired inert gas concentration
  Sufficient interval between tests of at least two minutes to stabilise volume history and to reset alveolar N2浓度
测试设备和性能必须遵守感染控制指南
  • MBW:多口气冲洗;S.III:III阶段坡度;VC:重要的容量;V.T.: 潮量;FRC:功能剩余容量;N.2:氮气。