The muscle relaxants actually paralyzed muscles so surgeons would not be working on moving and twitching patients. The paralysis also included respiratory muscles. Ventilation assistance was needed to make sure the patients were oxygenated during surgery. John Haven Emerson developed a mechanical ventilator for this purpose using an automotive wiper motor to drive a bellows used to inflate the lungs. The electrical component of these machines proved to be a problem due to flammable anesthetics like ether and cyclopropane used in the operating room at the time. In 1952 a ventilator was developed that was totally gas-driven. It was designed to use incoming gas flow to lift a weighted bellows which would then fall due to gravity, filling the lungs with oxygen and other gases. Volume was adjusted with a slider which would restrict the amount the bellows would fall. Residual pressure after respiration, keeping the lungs slightly inflated at all times could also be created with this machine. This was used for decades by anesthesiologists in surgery. The ventilators of this era were about the size of a 4-drawer filing …show more content…
It was a small green box that did not need a power source, just the flow of oxygen to operate. In 1971 intensive care was revolutionized with the introduction of the SERVO 900 ventilator. Electronic SERVO feedback would control the volume of gas delivered during controlled respirations. In 1991 a new SERVO ventilator was introduced that had the capability in one unit to ventilate all patients, babies to adults with different respiratory capacities. It featured a new gas delivery system that had rapid flow-triggering responses to patients own respiratory efforts, even the weakest. Ventilator machines became smaller again by 1999, now the size of a laptop computer and weighing 14 pounds. The smaller size and ease of use opened the use of ventilators to home or mobile use.Today’s ventilators consist of compressed air reservoirs, valves and tubes, disposable or reusable circuits of tubing and air and oxygen supplies. The air reservoir is pneumatically compressed several times a minute to deliver and 21% to 100% oxygen mixed with air. Some units also feature a turbine to deliver and hold positive pressure on the patient side. When this pressure is released, the patient passively exhales with the natural elasticity of their lungs. Pressure and flow on these machines can be set mechanically or electronically. Newer ventilators have sensors that activate when a patient is