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British Journal of Anaesthesia, 1973, Vol. 45, No. 7 711-718
© 1973 The Board of Management and Trustees of the British Journal of Anaesthesia

other

THE USE OF ISO-SHUNT LINES FOR CONTROL OF OXYGEN THERAPY

S. R. BENATAR, M.B., CH.B., F.F.A.(S.A.)*, A. M. HEWLETT, M.B., CH.B., F.F.A.R.C.S. and J. F. NUNN, M.D., PH.D., F.F.A.R.C.S.

Division of Anaesthesia, Clinical Research Centre Watford Road, Harrow, Middlesex

*Present address: Brompton Hospital, London S.W.3

The concept of "virtual shunt" is presented as a practical means for determining the optimal inspired oxygen concentration for patients with hypoxaemia due to pulmonary venous admixture. The approach permits a reduction in the number of blood-gas analyses needed. Its limitations have been explored and its validity assessed from a series of 44 observations made on 4 patients.


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