Podcast
Questions and Answers
What is the primary function of the oxygen pressure failure alarm within the anesthesia machine?
What is the primary function of the oxygen pressure failure alarm within the anesthesia machine?
- To restrict the flow of nitrous oxide if oxygen pressure is inadequate.
- To alert the user if the oxygen pressure drops too low. (correct)
- To bypass the vaporizers and deliver high-flow oxygen to the patient.
- To control the amount of oxygen delivered to the patient.
How does the oxygen pressure failure device (fail-safe) contribute to patient safety in the anesthesia machine?
How does the oxygen pressure failure device (fail-safe) contribute to patient safety in the anesthesia machine?
- By delivering high-flow oxygen directly to the patient in emergencies.
- By cutting off or restricting the flow of other gases if oxygen pressure is inadequate. (correct)
- By monitoring oxygen concentration in the inspired gas mixture.
- By controlling the precise amount of oxygen administered.
What role does the hypoxic guard play in the function of the anesthesia machine?
What role does the hypoxic guard play in the function of the anesthesia machine?
- It ensures oxygen's flowmeter interacts with other gases to prevent delivery of a hypoxic mixture. (correct)
- It allows the delivery of a hypoxic mixture when needed.
- It regulates the pressure of oxygen entering the machine.
- It controls the flow of anesthetic agents.
What is the primary function of the oxygen flush valve in an anesthesia machine?
What is the primary function of the oxygen flush valve in an anesthesia machine?
Which component of the anesthesia machine is responsible for removing carbon dioxide from the breathing circuit?
Which component of the anesthesia machine is responsible for removing carbon dioxide from the breathing circuit?
How does a sudden decrease in total gas flow affect the anesthetic concentration delivered by a historical copper kettle vaporizer?
How does a sudden decrease in total gas flow affect the anesthetic concentration delivered by a historical copper kettle vaporizer?
How do modern vaporizers compensate for temperature changes to maintain a consistent output of anesthetic vapor?
How do modern vaporizers compensate for temperature changes to maintain a consistent output of anesthetic vapor?
Why is it dangerous to tip a modern vaporizer?
Why is it dangerous to tip a modern vaporizer?
What should be done if a vaporizer is accidentally tipped over?
What should be done if a vaporizer is accidentally tipped over?
In the context of vaporizers, what does 'split ratio' refer to?
In the context of vaporizers, what does 'split ratio' refer to?
For desflurane, which of the following is true regarding its physical properties and vaporizer requirements?
For desflurane, which of the following is true regarding its physical properties and vaporizer requirements?
What unique characteristic of the Tec 6 Desflurane vaporizer requires manual adjustment when used at high altitudes?
What unique characteristic of the Tec 6 Desflurane vaporizer requires manual adjustment when used at high altitudes?
What is the primary distinguishing feature of the Aladin cassette vaporizer system compared to traditional vaporizers?
What is the primary distinguishing feature of the Aladin cassette vaporizer system compared to traditional vaporizers?
In the Aladin cassette vaporizer, what component precisely controls the flow of fresh gas to achieve the desired anesthetic concentration?
In the Aladin cassette vaporizer, what component precisely controls the flow of fresh gas to achieve the desired anesthetic concentration?
What unique safety feature is present in the Aladin cassette vaporizer system?
What unique safety feature is present in the Aladin cassette vaporizer system?
How does the Maquet FLOW-i electronic injector vaporizer deliver anesthetic agents?
How does the Maquet FLOW-i electronic injector vaporizer deliver anesthetic agents?
What is the 'pumping effect' related to vaporizers, and how have modern machines addressed it?
What is the 'pumping effect' related to vaporizers, and how have modern machines addressed it?
A circle system is set to semi-closed. Which of the following is true?
A circle system is set to semi-closed. Which of the following is true?
Which of the following is a disadvantage of the Circle System?
Which of the following is a disadvantage of the Circle System?
During spontaneous ventilation, how should the Adjustable Pressure-Limiting (APL) valve be configured within a circle system?
During spontaneous ventilation, how should the Adjustable Pressure-Limiting (APL) valve be configured within a circle system?
Which best describes 'Dead Space' in regards to breathing systems?
Which best describes 'Dead Space' in regards to breathing systems?
What is a primary advantage of allowing a controlled amount of rebreathing during anesthesia?
What is a primary advantage of allowing a controlled amount of rebreathing during anesthesia?
Which of the following statements is true regarding Mapleson circuits?
Which of the following statements is true regarding Mapleson circuits?
What is the general guideline for fresh gas flow (FGF) settings when using a Mapleson circuit to prevent rebreathing?
What is the general guideline for fresh gas flow (FGF) settings when using a Mapleson circuit to prevent rebreathing?
What is the best use case scenario for Mapleson A?
What is the best use case scenario for Mapleson A?
What is a unique disadvantage of Mapleson A when compared to the other Mapleson configurations?
What is a unique disadvantage of Mapleson A when compared to the other Mapleson configurations?
Which Mapleson circuit is considered the most suitable for controlled ventilation?
Which Mapleson circuit is considered the most suitable for controlled ventilation?
Which Mapleson circuit is best for transport & resuscitation?
Which Mapleson circuit is best for transport & resuscitation?
Which of the following Mapleson circuits is essentially Mapleson E or Ayre's T-Piece circuit with a reservoir bag added?
Which of the following Mapleson circuits is essentially Mapleson E or Ayre's T-Piece circuit with a reservoir bag added?
Which statement accurately describes the Mapleson F (Jackson-Rees) modification?
Which statement accurately describes the Mapleson F (Jackson-Rees) modification?
When performing the Pethick test on a Bain circuit, what observation indicates a patent inner tube?
When performing the Pethick test on a Bain circuit, what observation indicates a patent inner tube?
What is the function of the exhalation check valve in the Circle System breathing circuit?
What is the function of the exhalation check valve in the Circle System breathing circuit?
What is the purpose of the APL (adjustable pressure-limiting) valve in a circle system?
What is the purpose of the APL (adjustable pressure-limiting) valve in a circle system?
What may occur if inspiratory valve is stuck open?
What may occur if inspiratory valve is stuck open?
Which of the following characteristics of corrugated tubing creates the best component for the ventilation circuit?
Which of the following characteristics of corrugated tubing creates the best component for the ventilation circuit?
What is a key characteristic of historical copper kettle vaporizers that influences anesthetic delivery?
What is a key characteristic of historical copper kettle vaporizers that influences anesthetic delivery?
Why is it imperative to dilute the gas exiting a historical copper kettle vaporizer before it reaches the patient?
Why is it imperative to dilute the gas exiting a historical copper kettle vaporizer before it reaches the patient?
How does altering the flow rate affect the anesthetic concentration when using modern vaporizers?
How does altering the flow rate affect the anesthetic concentration when using modern vaporizers?
What mechanism do modern vaporizers employ to maintain a consistent anesthetic concentration despite cooling?
What mechanism do modern vaporizers employ to maintain a consistent anesthetic concentration despite cooling?
What occurs within a modern vaporizer when the temperature of the liquid anesthetic decreases?
What occurs within a modern vaporizer when the temperature of the liquid anesthetic decreases?
What is a significant danger associated with overfilling a modern vaporizer?
What is a significant danger associated with overfilling a modern vaporizer?
If a modern vaporizer is found to be leaking, where is the most likely source of the leak?
If a modern vaporizer is found to be leaking, where is the most likely source of the leak?
What is the purpose of the surface area created by baffles and wicks inside the vaporizing chamber of a modern vaporizer?
What is the purpose of the surface area created by baffles and wicks inside the vaporizing chamber of a modern vaporizer?
What is the split ratio in a vaporizer? (Select best answer)
What is the split ratio in a vaporizer? (Select best answer)
What does the saturated vapor pressure of an anesthetic agent primarily determine?
What does the saturated vapor pressure of an anesthetic agent primarily determine?
After a vaporizer has been significantly tipped, what actions are recommended?
After a vaporizer has been significantly tipped, what actions are recommended?
For Dräger Vapor 2000 and 3000 series vaporizers, what specific feature is designed to prevent issues related to tipping?
For Dräger Vapor 2000 and 3000 series vaporizers, what specific feature is designed to prevent issues related to tipping?
How does the Tec 6 desflurane vaporizer achieve the necessary vapor pressure for desflurane delivery?
How does the Tec 6 desflurane vaporizer achieve the necessary vapor pressure for desflurane delivery?
What is a crucial consideration when using a Tec 6 desflurane vaporizer at high altitudes?
What is a crucial consideration when using a Tec 6 desflurane vaporizer at high altitudes?
How is the Tec 6 accurately described in terms of gas blending and vaporization?
How is the Tec 6 accurately described in terms of gas blending and vaporization?
What is the reference working pressure used for fresh gas entering the Tec 6?
What is the reference working pressure used for fresh gas entering the Tec 6?
In the Tec 6, what role does the differential pressure transducer play?
In the Tec 6, what role does the differential pressure transducer play?
In the Aladin cassette vaporizer, how do the fresh gas and liquid chamber flows combine?
In the Aladin cassette vaporizer, how do the fresh gas and liquid chamber flows combine?
What specific feature prevents retrograde flow of anesthetic vapor back into the bypass chamber within the Aladin cassette system?
What specific feature prevents retrograde flow of anesthetic vapor back into the bypass chamber within the Aladin cassette system?
In the Maquet FLOW-i electronic injector vaporizer system, how is the delivery of liquid anesthetic achieved?
In the Maquet FLOW-i electronic injector vaporizer system, how is the delivery of liquid anesthetic achieved?
What is the primary cause of the 'pumping effect' in older vaporizer designs?
What is the primary cause of the 'pumping effect' in older vaporizer designs?
How has the industry minimized the 'pumping effect'?
How has the industry minimized the 'pumping effect'?
What is the primary goal of the anesthesia breathing circuit?
What is the primary goal of the anesthesia breathing circuit?
How does FGF relate to rebreathing?
How does FGF relate to rebreathing?
Which statement highlights the utility of controlled rebreathing?
Which statement highlights the utility of controlled rebreathing?
What is a key design factor for Mapleson systems?
What is a key design factor for Mapleson systems?
A fresh gas flow of how many times the patient's minute ventilation is sufficient to prevent rebreathing?
A fresh gas flow of how many times the patient's minute ventilation is sufficient to prevent rebreathing?
Which Mapleson circuit requires a relatively high, specific, FGF to prevent rebreathing?
Which Mapleson circuit requires a relatively high, specific, FGF to prevent rebreathing?
Which is most true regarding alveolar gas in Mapleson D during spontaneous?
Which is most true regarding alveolar gas in Mapleson D during spontaneous?
Which choice is most true regarding alveolar gas in Mapleson A during spontaneous?
Which choice is most true regarding alveolar gas in Mapleson A during spontaneous?
During assisted or controlled ventilation, how does the adjustable pressure-limiting (APL) valve function?
During assisted or controlled ventilation, how does the adjustable pressure-limiting (APL) valve function?
During which moment should the APL be open?
During which moment should the APL be open?
What is a prominent disadvantage of circle systems?
What is a prominent disadvantage of circle systems?
In a closed breathing system, what is the relationship between fresh gas inflow and patient oxygen consumption?
In a closed breathing system, what is the relationship between fresh gas inflow and patient oxygen consumption?
What is a key disadvantage of closed systems?
What is a key disadvantage of closed systems?
How should tubing length and diameter impact your equipment choice?
How should tubing length and diameter impact your equipment choice?
What should the standard for reservoir bags larger than 1.5 L?
What should the standard for reservoir bags larger than 1.5 L?
During circle systems, what best describes the relationship between the inhalation/exhalation and the fresh gas inlet?
During circle systems, what best describes the relationship between the inhalation/exhalation and the fresh gas inlet?
Which of the following best describes the function of the hypoxic guard in an anesthesia machine?
Which of the following best describes the function of the hypoxic guard in an anesthesia machine?
What is the correct sequence of gas flow through the components of an anesthesia machine?
What is the correct sequence of gas flow through the components of an anesthesia machine?
What is the purpose of the baffles and wicks found within the vaporizing chamber of a modern vaporizer?
What is the purpose of the baffles and wicks found within the vaporizing chamber of a modern vaporizer?
How does the decreased temperature impact the bimetallic strip in a modern vaporizer?
How does the decreased temperature impact the bimetallic strip in a modern vaporizer?
Which of the following is a key step in managing a modern vaporizer that has been tipped over?
Which of the following is a key step in managing a modern vaporizer that has been tipped over?
Which factor determines the flow of gas through a historical copper kettle vaporizer?
Which factor determines the flow of gas through a historical copper kettle vaporizer?
What is the primary reason for the need to dilute the gas exiting a historical copper kettle vaporizer before it's delivered to the patient?
What is the primary reason for the need to dilute the gas exiting a historical copper kettle vaporizer before it's delivered to the patient?
In the Tec 6 desflurane vaporizer, a 'pressure-regulating valve' is located downstream from what component?
In the Tec 6 desflurane vaporizer, a 'pressure-regulating valve' is located downstream from what component?
What role does the reference working pressure play in the Tec 6 desflurane vaporizer?
What role does the reference working pressure play in the Tec 6 desflurane vaporizer?
How do the Aladin cassette vaporizers prevent liquid anesthetic agent from entering the fresh gas line when the cassette is removed from the anesthesia machine?
How do the Aladin cassette vaporizers prevent liquid anesthetic agent from entering the fresh gas line when the cassette is removed from the anesthesia machine?
In the Maquet FLOW-i electronic injector vaporizer, the volume of vapor produced is calculated based on what?
In the Maquet FLOW-i electronic injector vaporizer, the volume of vapor produced is calculated based on what?
Why does the pressure of the breathing system fluctuate when positive pressure ventilation or the oxygen flush valve are in use?
Why does the pressure of the breathing system fluctuate when positive pressure ventilation or the oxygen flush valve are in use?
Which of the following best describes a semi-closed circuit within the anesthesia breathing system?
Which of the following best describes a semi-closed circuit within the anesthesia breathing system?
What is the main function of the circle system in an anesthesia breathing circuit?
What is the main function of the circle system in an anesthesia breathing circuit?
What is the implication of increased tidal volume when using a Mapleson circuit?
What is the implication of increased tidal volume when using a Mapleson circuit?
Which Mapleson circuit configuration places the fresh gas inlet and APL valve nearest the patient?
Which Mapleson circuit configuration places the fresh gas inlet and APL valve nearest the patient?
What is a crucial step of the Pethick test on the Bain circuit?
What is a crucial step of the Pethick test on the Bain circuit?
The ASTM standard for reservoir bags larger than 1.5L requires the pressure (at 4x capacity) to:
The ASTM standard for reservoir bags larger than 1.5L requires the pressure (at 4x capacity) to:
If the inspiratory valve of a circle system malfunctions and remains stuck in the open position, which of the following complications is most likely to occur?
If the inspiratory valve of a circle system malfunctions and remains stuck in the open position, which of the following complications is most likely to occur?
What action does the Adjustable Pressure-Limiting (APL) valve perform?
What action does the Adjustable Pressure-Limiting (APL) valve perform?
In a historical copper kettle vaporizer, what is a critical consideration for the carrier gas after it passes through the vaporizing chamber?
In a historical copper kettle vaporizer, what is a critical consideration for the carrier gas after it passes through the vaporizing chamber?
How does a modern vaporizer compensate for decreases in ambient pressure to maintain a constant anesthetic concentration?
How does a modern vaporizer compensate for decreases in ambient pressure to maintain a constant anesthetic concentration?
Why is it critical to avoid overfilling modern vaporizers?
Why is it critical to avoid overfilling modern vaporizers?
What design element of a modern vaporizer ensures that the proportion of gas exposed to the liquid anesthetic remains constant regardless of flow rate?
What design element of a modern vaporizer ensures that the proportion of gas exposed to the liquid anesthetic remains constant regardless of flow rate?
What is the immediate next step if a modern vaporizer has been significantly tipped over?
What is the immediate next step if a modern vaporizer has been significantly tipped over?
What does increasing dial setting do to gas flow within a modern vaporizer?
What does increasing dial setting do to gas flow within a modern vaporizer?
What is the function of the wick inside a variable-bypass vaporizer?
What is the function of the wick inside a variable-bypass vaporizer?
What could result if the Tec 6 desflurane vaporizer attempts to be used without being warmed up?
What could result if the Tec 6 desflurane vaporizer attempts to be used without being warmed up?
Within the Tec 6 desflurane vaporizer, what is the purpose of the pressure-regulating valve located downstream from the shut-off valve?
Within the Tec 6 desflurane vaporizer, what is the purpose of the pressure-regulating valve located downstream from the shut-off valve?
How does the Aladin cassette vaporizer primarily control the concentration of anesthetic agent delivered to the patient?
How does the Aladin cassette vaporizer primarily control the concentration of anesthetic agent delivered to the patient?
In the Maquet FLOW-i electronic injector vaporizer system, what physical principle is analogous to the system's method of anesthetic delivery?
In the Maquet FLOW-i electronic injector vaporizer system, what physical principle is analogous to the system's method of anesthetic delivery?
What technical advancement substantially reduced, but did not eliminate, the 'pumping effect' in modern vaporizers?
What technical advancement substantially reduced, but did not eliminate, the 'pumping effect' in modern vaporizers?
What is the primary advantage of a semi-closed circle system, compared to a semi-open system, in terms of heat and humidity?
What is the primary advantage of a semi-closed circle system, compared to a semi-open system, in terms of heat and humidity?
What aspect presents a challenge to closed anesthesia breathing systems?
What aspect presents a challenge to closed anesthesia breathing systems?
Why do Mapleson circuits lack unidirectional valves and carbon dioxide absorbers?
Why do Mapleson circuits lack unidirectional valves and carbon dioxide absorbers?
In Mapleson circuits, what results from changes in fresh gas flow?
In Mapleson circuits, what results from changes in fresh gas flow?
During spontaneous ventilation with a Mapleson A circuit, where are the fresh gas inlet and APL valve located with respect to the patient?
During spontaneous ventilation with a Mapleson A circuit, where are the fresh gas inlet and APL valve located with respect to the patient?
Why does Mapleson A require 10 L/min fresh gas flows?
Why does Mapleson A require 10 L/min fresh gas flows?
Which Mapleson circuit is preferred for its efficiency during controlled ventilation, and why?
Which Mapleson circuit is preferred for its efficiency during controlled ventilation, and why?
During a Pethick test on a Bain circuit, what observation concerning fresh gas flow indicates a leak in the inner tube?
During a Pethick test on a Bain circuit, what observation concerning fresh gas flow indicates a leak in the inner tube?
What are the benefits of fresh gas flow?
What are the benefits of fresh gas flow?
In a circle system, how is the direction of gas flow maintained, preventing bidirectional movement?
In a circle system, how is the direction of gas flow maintained, preventing bidirectional movement?
What is the purpose of the exhalation check valve in the Circle System breathing circuit?
What is the purpose of the exhalation check valve in the Circle System breathing circuit?
According to ASTM standards, what is the minimum pressure requirement for reservoir bags larger than 1.5 L when inflated to four times their capacity?
According to ASTM standards, what is the minimum pressure requirement for reservoir bags larger than 1.5 L when inflated to four times their capacity?
In a circle system, what is the primary effect of an incompetent expiratory valve (stuck open)?
In a circle system, what is the primary effect of an incompetent expiratory valve (stuck open)?
What design consideration of corrugated tubing is most important for reducing resistance to gas flow within the breathing circuit?
What design consideration of corrugated tubing is most important for reducing resistance to gas flow within the breathing circuit?
During which phase of respiration within a Mapleson A circuit is alveolar gas most likely to be eliminated from the system?
During which phase of respiration within a Mapleson A circuit is alveolar gas most likely to be eliminated from the system?
How the fresh gas inlet relate to the exhalation/inspiration ports?
How the fresh gas inlet relate to the exhalation/inspiration ports?
What is the most important indication for use for Mapleson F?
What is the most important indication for use for Mapleson F?
What has the most influence in the amount of rebreathing that occurs?
What has the most influence in the amount of rebreathing that occurs?
What is Volume in dead space?
What is Volume in dead space?
Why is a controlled amount of rebreathing needed?
Why is a controlled amount of rebreathing needed?
Aside from FGF, what is the other parameter best controlled in breathing to lower rebreathing?
Aside from FGF, what is the other parameter best controlled in breathing to lower rebreathing?
How should the APL be set to function normally?
How should the APL be set to function normally?
What constitutes the biggest disadvantage of circle circuits?
What constitutes the biggest disadvantage of circle circuits?
When is APL closed/restricted?
When is APL closed/restricted?
In a historical copper kettle vaporizer, if the carrier gas becomes insufficiently diluted after passing through the vaporizing chamber, what is the most probable consequence for the patient?
In a historical copper kettle vaporizer, if the carrier gas becomes insufficiently diluted after passing through the vaporizing chamber, what is the most probable consequence for the patient?
How does the bimetallic strip within a modern vaporizer contribute to maintaining a stable anesthetic concentration during temperature fluctuations?
How does the bimetallic strip within a modern vaporizer contribute to maintaining a stable anesthetic concentration during temperature fluctuations?
What is the likely consequence of failing to set a vaporizer concentration dial to its highest setting when purging a recently tipped-over modern vaporizer?
What is the likely consequence of failing to set a vaporizer concentration dial to its highest setting when purging a recently tipped-over modern vaporizer?
What is the most likely consequence if the Aladin cassette vaporizer is removed mid-case?
What is the most likely consequence if the Aladin cassette vaporizer is removed mid-case?
In the context of a Tec 6 desflurane vaporizer, how does the concentration control valve (R2) precisely regulate the output of desflurane vapor?
In the context of a Tec 6 desflurane vaporizer, how does the concentration control valve (R2) precisely regulate the output of desflurane vapor?
In the Maquet FLOW-i electronic injector vaporizer system, what is the fundamental principle that allows precisely measured amounts of liquid anesthetic to be injected into the fresh gas flow (FGF) stream?
In the Maquet FLOW-i electronic injector vaporizer system, what is the fundamental principle that allows precisely measured amounts of liquid anesthetic to be injected into the fresh gas flow (FGF) stream?
What is the primary factor differentiating the Mapleson A circuit's efficacy during spontaneous versus controlled ventilation?
What is the primary factor differentiating the Mapleson A circuit's efficacy during spontaneous versus controlled ventilation?
A technician discovers that the internal diameter of the corrugated tubing in a circle system is significantly smaller than the standard. How might this affect a patient?
A technician discovers that the internal diameter of the corrugated tubing in a circle system is significantly smaller than the standard. How might this affect a patient?
What is the underlying reason that a fully closed anesthesia breathing system is generally avoided despite its environmental and cost-saving benefits?
What is the underlying reason that a fully closed anesthesia breathing system is generally avoided despite its environmental and cost-saving benefits?
Why is it crucial to avoid overfilling a modern variable-bypass vaporizer, such as a Dräger Vapor 2000, with volatile anesthetic agent?
Why is it crucial to avoid overfilling a modern variable-bypass vaporizer, such as a Dräger Vapor 2000, with volatile anesthetic agent?
What is the primary advantage of incorporating baffles and wicks within the vaporizing chamber of a modern vaporizer?
What is the primary advantage of incorporating baffles and wicks within the vaporizing chamber of a modern vaporizer?
How does the Aladin cassette vaporizer system prevent liquid anesthetic agent from contaminating the fresh gas line upon cassette removal?
How does the Aladin cassette vaporizer system prevent liquid anesthetic agent from contaminating the fresh gas line upon cassette removal?
What critical adjustment must be made when utilizing a Tec 6 desflurane vaporizer at high altitudes to ensure adequate anesthetic delivery?
What critical adjustment must be made when utilizing a Tec 6 desflurane vaporizer at high altitudes to ensure adequate anesthetic delivery?
Considering the design of the Mapleson circuits, what strategy would be most effective in minimizing rebreathing of carbon dioxide during mechanical ventilation?
Considering the design of the Mapleson circuits, what strategy would be most effective in minimizing rebreathing of carbon dioxide during mechanical ventilation?
How should the APL valve be managed during spontaneous ventilation?
How should the APL valve be managed during spontaneous ventilation?
In a circle system, if the exhalation check valve fails (stuck open), what is the acute risk to the patient?
In a circle system, if the exhalation check valve fails (stuck open), what is the acute risk to the patient?
If you're using a brand new circle system, what do you need to consider?
If you're using a brand new circle system, what do you need to consider?
In a faulty circle system, the inspiratory limb ends up with an obstruction of flow, what would happen?
In a faulty circle system, the inspiratory limb ends up with an obstruction of flow, what would happen?
What is the standard for pressure in reservoir bags?
What is the standard for pressure in reservoir bags?
Why does increasing the fresh gas flow impact rebreathing?
Why does increasing the fresh gas flow impact rebreathing?
With a Mapleson circuit, what happens if the tidal volume is too high?
With a Mapleson circuit, what happens if the tidal volume is too high?
What is not the greatest disadvantage of a circle system?
What is not the greatest disadvantage of a circle system?
In what circumstance is a semi-open breathing system preferable to a semi-closed system?
In what circumstance is a semi-open breathing system preferable to a semi-closed system?
If it is determined that you need a spontaneous breathing circuit, what setup do you need?
If it is determined that you need a spontaneous breathing circuit, what setup do you need?
Which of the following is not the utility of rebreathing?
Which of the following is not the utility of rebreathing?
All Mapleson circuits have the following except:
All Mapleson circuits have the following except:
What is dead space volume?
What is dead space volume?
In a Bain circuit, what does the Pethick test assess?
In a Bain circuit, what does the Pethick test assess?
You are planning to perform a procedure using a Mapleson F circuit. What patient would be most appropriate?
You are planning to perform a procedure using a Mapleson F circuit. What patient would be most appropriate?
What is the relationship between the exhalation/inspiration and fresh gas ports?
What is the relationship between the exhalation/inspiration and fresh gas ports?
How will the vaporizer dial control anesthetic deliver?
How will the vaporizer dial control anesthetic deliver?
What function does the wick serve inside the vaporizer chamber?
What function does the wick serve inside the vaporizer chamber?
In the Tec 6 desflurane vaporizer and prior to the concentration valve, what does the reference working pressure impact?
In the Tec 6 desflurane vaporizer and prior to the concentration valve, what does the reference working pressure impact?
Using a Mapleson A circuit, if you increase the weight of the patient, how will the alveolar gas change?
Using a Mapleson A circuit, if you increase the weight of the patient, how will the alveolar gas change?
During anesthesia with controlled ventilation, what represents the function of the APL valve?
During anesthesia with controlled ventilation, what represents the function of the APL valve?
During the use of Mapleson D circuit, what causes more waste?
During the use of Mapleson D circuit, what causes more waste?
The Mapleson A circuit requires 10 L/min fresh gas flows, why?
The Mapleson A circuit requires 10 L/min fresh gas flows, why?
As long as which of the following occurs are we able to control rebreathing?
As long as which of the following occurs are we able to control rebreathing?
Within a circle system, to remove reverse gas flow, what must we do?
Within a circle system, to remove reverse gas flow, what must we do?
If it is determined to be high altitude, and you are utilizing the Tec 6, what is needed?
If it is determined to be high altitude, and you are utilizing the Tec 6, what is needed?
Which patient type would be best for undergoing a Mapleson F procedure?
Which patient type would be best for undergoing a Mapleson F procedure?
In a historical copper kettle vaporizer, what is the most critical factor in determining the final concentration of anesthetic delivered to the patient?
In a historical copper kettle vaporizer, what is the most critical factor in determining the final concentration of anesthetic delivered to the patient?
A modern vaporizer is designed to maintain a constant output, however, at very low and very high fresh gas flows (FGF), the concentration can become unpredictable. Why might this occur?
A modern vaporizer is designed to maintain a constant output, however, at very low and very high fresh gas flows (FGF), the concentration can become unpredictable. Why might this occur?
After a significant temperature drop within a modern vaporizer, how does the bimetallic strip ensure consistent anesthetic delivery?
After a significant temperature drop within a modern vaporizer, how does the bimetallic strip ensure consistent anesthetic delivery?
How might you purge a modern vaporizer after it has been tipped over?
How might you purge a modern vaporizer after it has been tipped over?
When troubleshooting a tipped vaporizer, why should the concentration dial be set to a high concentration?
When troubleshooting a tipped vaporizer, why should the concentration dial be set to a high concentration?
What is the core operational principle behind the Tec 6 desflurane vaporizer's accurate control of desflurane output?
What is the core operational principle behind the Tec 6 desflurane vaporizer's accurate control of desflurane output?
Within the Tec 6 desflurane vaporizer, what is the functional role of the pressure-regulating valve located downstream from the shut-off valve?
Within the Tec 6 desflurane vaporizer, what is the functional role of the pressure-regulating valve located downstream from the shut-off valve?
Why is it essential to manually increase the desflurane concentration control when using a Tec 6 vaporizer at high altitudes?
Why is it essential to manually increase the desflurane concentration control when using a Tec 6 vaporizer at high altitudes?
After the Aladin cassette is removed from the unit, what is the immediate impact if the valves malfunction? (Select the most likely single answer.)
After the Aladin cassette is removed from the unit, what is the immediate impact if the valves malfunction? (Select the most likely single answer.)
Considering the complexities of variable-bypass vaporizers, under what conditions would the inspired concentration most closely match the vaporizer dial setting?
Considering the complexities of variable-bypass vaporizers, under what conditions would the inspired concentration most closely match the vaporizer dial setting?
In the context of a circle system, what is the most detrimental consequence of a malfunctioning inspiratory valve that is stuck in the open position?
In the context of a circle system, what is the most detrimental consequence of a malfunctioning inspiratory valve that is stuck in the open position?
How does increasing fresh gas flow (FGF) lead to decreased rebreathing?
How does increasing fresh gas flow (FGF) lead to decreased rebreathing?
After a rapid change to a higher fresh gas flow rate, what adaptation occurs within the anesthesia circle system to best maintain sufficient pressure?
After a rapid change to a higher fresh gas flow rate, what adaptation occurs within the anesthesia circle system to best maintain sufficient pressure?
In a Mapleson A circuit during spontaneous ventilation, why does alveolar gas elimination primarily occur during exhalation?
In a Mapleson A circuit during spontaneous ventilation, why does alveolar gas elimination primarily occur during exhalation?
Which factor in a Mapleson circuit has the greatest impact on rebreathing, besides fresh gas flow (FGF)?
Which factor in a Mapleson circuit has the greatest impact on rebreathing, besides fresh gas flow (FGF)?
For a Mapleson D circuit being utilizing new corrugated tubing (long) at high altitude on an obese patient, what alteration should be implemented?
For a Mapleson D circuit being utilizing new corrugated tubing (long) at high altitude on an obese patient, what alteration should be implemented?
During a Pethick test on a Bain circuit, failure to remove all slack from the reservoir bag could lead to which false conclusion?
During a Pethick test on a Bain circuit, failure to remove all slack from the reservoir bag could lead to which false conclusion?
If it is determined you are providing assisted ventilation, what parameter is MOST important parameter?
If it is determined you are providing assisted ventilation, what parameter is MOST important parameter?
An anesthesia provider is using a circle system with sevoflurane for a patient undergoing a two-hour surgery. Halfway through the procedure, the provider notices the inspired CO2 level is gradually increasing despite adequate minute ventilation. What is the MOST immediate action to resolve this issue?
An anesthesia provider is using a circle system with sevoflurane for a patient undergoing a two-hour surgery. Halfway through the procedure, the provider notices the inspired CO2 level is gradually increasing despite adequate minute ventilation. What is the MOST immediate action to resolve this issue?
The ASTM standard establishes pressure requirements for reservoir bags larger than 1.5 L when inflated to four times their capacity. Which best supports why this standard is set?
The ASTM standard establishes pressure requirements for reservoir bags larger than 1.5 L when inflated to four times their capacity. Which best supports why this standard is set?
Flashcards
What three gases are delivered by the anesthesia gas delivery system?
What three gases are delivered by the anesthesia gas delivery system?
Oxygen, nitrous oxide, and air.
What is the O2 Pressure Failure Alarm?
What is the O2 Pressure Failure Alarm?
Alerts if oxygen pressure drops too low.
What is the O2 Pressure Failure Device (Fail-safe)?
What is the O2 Pressure Failure Device (Fail-safe)?
Cuts off or restricts flow of other gases if O2 pressure is inadequate, preventing hypoxia.
What does the O2 Flowmeter do?
What does the O2 Flowmeter do?
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What is the O2 Flush Valve function?
What is the O2 Flush Valve function?
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What is the Ventilator Drive Gas?
What is the Ventilator Drive Gas?
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What happens in the common manifold?
What happens in the common manifold?
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What do vaporizers do?
What do vaporizers do?
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What happens at the Common Gas Outlet?
What happens at the Common Gas Outlet?
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What does breathing circuit include?
What does breathing circuit include?
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What happens to exhaled gases?
What happens to exhaled gases?
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Why are vaporizers important?
Why are vaporizers important?
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What is vapor pressure?
What is vapor pressure?
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What is unique for each anesthetic gas?
What is unique for each anesthetic gas?
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How does temperature relates to vapor pressure?
How does temperature relates to vapor pressure?
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What does vaporization require?
What does vaporization require?
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What is a liquid's boiling point?
What is a liquid's boiling point?
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What are modern vaporizers?
What are modern vaporizers?
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Why is copper used in the historical kettle?
Why is copper used in the historical kettle?
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What is temperature compensation?
What is temperature compensation?
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What does the bimetallic strip do?
What does the bimetallic strip do?
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Why are agent-specific fillers used?
Why are agent-specific fillers used?
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What can reduce vaporizer output?
What can reduce vaporizer output?
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What is split ratio?
What is split ratio?
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What results from tipping a vaporizer?
What results from tipping a vaporizer?
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How do you troubleshoot a tipped vaporizer?
How do you troubleshoot a tipped vaporizer?
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Dräger vaporizer tipping prevention?
Dräger vaporizer tipping prevention?
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Tec 6 desflurane vaporizer method
Tec 6 desflurane vaporizer method
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Tec 6 desflurane vaporizer is a?
Tec 6 desflurane vaporizer is a?
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Which vaporizer cant compensate changes in elevation?
Which vaporizer cant compensate changes in elevation?
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Aladin cassette vaporizer feature?
Aladin cassette vaporizer feature?
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How heat works in cassette vaporizer?
How heat works in cassette vaporizer?
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Maquet FLOW-i vaporizer ability?
Maquet FLOW-i vaporizer ability?
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What minimizes the pumping effect?
What minimizes the pumping effect?
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Formula to determine how long can agent last?
Formula to determine how long can agent last?
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What is Primary function of the breathing circuit?
What is Primary function of the breathing circuit?
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What defines the Open anesthesia circuit system?
What defines the Open anesthesia circuit system?
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What defines the Semi-open anesthesia circuit system?
What defines the Semi-open anesthesia circuit system?
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What defines the Semi-closed anesthesia circuit system?
What defines the Semi-closed anesthesia circuit system?
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What defines the Closed anesthesia circuit system?
What defines the Closed anesthesia circuit system?
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Circle system features
Circle system features
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What happen if Increasing FGF with Circle system?
What happen if Increasing FGF with Circle system?
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What impacts rebreathing?
What impacts rebreathing?
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What is Dead Space?
What is Dead Space?
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What happens without Rebreathing
What happens without Rebreathing
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Mapleson features
Mapleson features
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Mapleson circuits is classified as
Mapleson circuits is classified as
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Mapleson design
Mapleson design
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Mapleson features?
Mapleson features?
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Mapleson advantages?
Mapleson advantages?
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Mapleson effect on breathing circuit?
Mapleson effect on breathing circuit?
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What can use to prevent rebreathing?
What can use to prevent rebreathing?
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Mapleson A
Mapleson A
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DEF mapleson known as the type of?
DEF mapleson known as the type of?
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Mapleson location
Mapleson location
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Can be used both ventilation.
Can be used both ventilation.
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Bain System inner issue is?
Bain System inner issue is?
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If inside tubing is patent in Pethick Test
If inside tubing is patent in Pethick Test
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a lead in the inner tube test
a lead in the inner tube test
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What does that corrugated tube do
What does that corrugated tube do
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Y-piece connection
Y-piece connection
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It limites pressure on breathing
It limites pressure on breathing
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ventilates in
ventilates in
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APL Valve can be during that ventilation
APL Valve can be during that ventilation
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You can to rotate to
You can to rotate to
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disadvantages of
disadvantages of
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anesthetic gas is has to?
anesthetic gas is has to?
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Maximal humidification?
Maximal humidification?
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Less?
Less?
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Disadvantages the delivered by.
Disadvantages the delivered by.
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Flowmeters (Per Gas)
Flowmeters (Per Gas)
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Hypoxic guard
Hypoxic guard
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Thermal Conductivity
Thermal Conductivity
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Vapor Pressure
Vapor Pressure
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Flow-Over Vaporizers
Flow-Over Vaporizers
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Temperature compensation
Temperature compensation
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Bimetallic strip
Bimetallic strip
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Don't overfill
Don't overfill
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Bypass Chamber
Bypass Chamber
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Concentration Control Dial
Concentration Control Dial
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Aladin Valves
Aladin Valves
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Pressure-Matching System
Pressure-Matching System
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Tec 6 Function
Tec 6 Function
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Semi-open config
Semi-open config
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What happen after the absorbent
What happen after the absorbent
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To prevent that there is rebreathing
To prevent that there is rebreathing
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You will need a FGF
You will need a FGF
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Mapleson Position
Mapleson Position
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D- Near MAP
D- Near MAP
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ASTM standard for bags
ASTM standard for bags
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The circuit valve
The circuit valve
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Study Notes
Anesthesia Gas Delivery System
- Medical gases such as Oâ‚‚, Nâ‚‚O, and air are delivered via an anesthesia machine to the patient
- Oxygen's 5 tasks involve critical safety and function mechanisms that depend on oxygen pressure
Gas Supply Sources
- Oxygen is green
- Nitrous Oxide (Nâ‚‚O) is blue
- Air is yellow
- Gases come from a pipeline, the primary source in hospitals
- Cylinders are a source for backup
Flow Through the System
- As oxygen enters the anesthesia machine, it first encounters a safety and regulatory system for five key tasks
Oxygen's 5 Tasks
- An Oâ‚‚ pressure failure alarm alerts if pressure drops too low
- An Oâ‚‚ pressure failure device, a fail-safe, cuts off or restricts flow of other gases like Nâ‚‚O and air if Oâ‚‚ pressure is inadequate
- An Oâ‚‚ flowmeter controls the amount of oxygen delivered
- An O₂ flush valve allows high-flow O₂ (35–75 L/min) to bypass the vaporizers straight to the patient, which is used in emergencies
- Ventilator drive gas: Oâ‚‚ powers the ventilator mechanism
Flowmeters
- Each gas has a flowmeter to control gas flow
- Oxygen's flowmeter interacts with the hypoxic guard, a safety feature, to prevent delivery of a hypoxic mixture of too much Nâ‚‚O or too little Oâ‚‚
Common Manifold & Vaporizers
- Gases combine in a common manifold after flowmeters
- Gases then pass through vaporizers, which add volatile anesthetic agents like sevoflurane
Common Gas Outlet
- The gas mixture exits the machine to enter the breathing circuit
- Gas enters the breathing circuit's absorber, which removes COâ‚‚, as well as the ventilator
- Patients inhale the controlled gas mixture
- Exhaled gases pass into a scavenger system then to disposal, preventing OR contamination
Vaporizers
- Anesthetic gases must be vaporized before delivery to the patient
- Vaporizers contain a chamber in which carrier gas becomes saturated with the volatile agent
- Equilibrium is produced between liquid and gas, or the vapor pressure
- Vapor pressure is unique for each anesthetic gas
Historical Copper Kettle
- Measured flow bubbles through a separate flowmeter
- Copper has high specific heat and high thermal conductivity (enhanced ability to maintain constant temperature)
- All gas entering the vaporizer becomes saturated with vapor
- Vapor pressure of volatile anesthetics is greater than the partial pressure needed for anesthesia so the gas must be diluted
- With fixed total flow, flow through the vaporizer determines the ultimate concentration
- A sudden decrease in flow raises anesthetic concentration to dangerous levels
Vaporizers and Temperature
- A decrease in temperature leads to a decrease in vapor pressure and fewer molecules in vapor phase
- Vaporization requires energy, or latent heat of vaporization, which results in a loss of heat from the liquid
- A liquid's boiling point is where its vapor pressure equals atmospheric pressure including desflurane which has is B.P. 22.8 C/73.4 F at 1 ATM
Modern Vaporizers
- Agent-specific
- Variable-bypass, flow-over
- Same proportion of gas is exposed to the liquid regardless of flow rate
- Altering flow rates does not alter anesthetic concentration except at extremes
- Temperature is compensated due to cooling:
- Strip with two different metals
- Metals expand and contract differently to temperature changes
- Strip bends to allow more or less gas to pass through vaporizer
- Are out of circuit when turned off
Temperature Compensation
- Bimetallic strip is temperature-sensitive
- Expands and contracts in response to ambient temperature changes
- Alters total gas flow between vaporizing and bypass chambers
- If the liquid anesthetic decreases in temperature, the bimetallic strip allows more gas flow into the vaporizing chamber to compensate for a decreased vapor pressure of the cooler liquid
Fresh Gas Inlet
- Fresh carrier gas of Oâ‚‚ or air enters the vaporizer from the anesthesia machine
- It is split into two streams:
- One goes through the bypass chamber
- The other goes to the vaporizing chamber where it picks up anesthetic vapor
Bypass Chamber
- The bypass chamber passes gas that does not contact liquid agent
- It travels directly through the bypass channel and rejoins the vaporizing stream at the outlet.
- The amount of gas taking this route is controlled by the concentration control dial
Vaporizing Chamber
- A chamber where the other gas stream enters, includes the liquid anesthetic agent
- Gas bubbles over or passes across the liquid agent and it becomes saturated with anesthetic vapor.
- This is known as the saturated vapor pressure of the agent at that temperature
Mixing and Output
- Vapor-laden gas exits the vaporizing chamber and mixes with gas from the bypass chamber
- The total mixture exits via the outlet, delivering desired concentration of anesthetic to the patient via the concentration control dial
Concentration Control Dial
- Turning this dial increases or decreases amount of gas directed into the vaporizing chamber:
- Increase dial means more gas flows into vaporizing chamber and higher anesthetic concentration is delivered
- Decrease dial means less gas enters vaporizing chamber and lower concentration is delivered
Ambient Pressure
- Modern vaporizers automatically compensate for changes in ambient pressure including altitude shifts
- Safety Interlocking/Exclusion Mechanism: Can only turn on one at a time
- Color-coded
- Agent-specific keyed filler device avoids misfiling
- Avoid overfilling or tipping
- Liquid can disrupt liquid and affect the concentration
- Leaks are often associated with a loose filler cap
Surface Area and Turbulence
- Fresh gas enters the vaporizing chamber and flows over series of baffles and wicks
- Baffles and wicks increase surface area and turbulence, ensuring fresh gas becomes 100% saturated
- Very low or very high fresh gas flow reduces vaporizer output
Split Ratio
- Split ratio is needed to know
- Saturated vapor pressure is also needed to know
Split Ratio example
- Sevo 1% split ratio is 25:1, 2% split ratio is 12:1, and 3% split ratio is 8:1
- Sevo's 160 mm Hg is SVP
- 12:1 is ~ 1850/150
- 160 of 760 equals 21%
- 150/0.79 is 190, 150/190 is 79%
- X equals 40 ml Sevo or 190-150
Diagram Key
- Fresh Gas In flow is 2000 mL/min, the total carrier gas from the anesthesia machine
- The Split Ratio is 12:1
- 12 parts bypass chamber and 1 part vaporizing chamber
- Bypass Flow is 1850 mL/min
- Flow to Vaporizing Chamber is 150 mL/min
- Sevoflurane Vaporized is 40 mL/min
- Total Output is 2040 mL/min
- 1850 + 150 + 40 equals 2040
Step-by-Step Breakdown
- Fresh Gas of 2000 mL/min from total is used
- 1850 mL/min goes through bypass chamber
- 150 mL/min is diverted into the vaporizing chamber, where it contacts the liquid sevoflurane
Vaporizing Chamber Function
- The 150 mL/min of gas receives saturation with sevoflurane vapor
- At 20°C, sevoflurane has a saturated vapor pressure of ~160 mmHg
- With this chamber, ~40 mL/min of pure sevoflurane vapor is in the mix
Recombination and Output
- Bypass gas and vapor-saturated gas recombine with 1850 mL/min bypass, 150 mL/min carrier gas from vaporizing chamber, and 40 mL/min vapor
- Final concentration is calculated as the volatile agent
- 40 mL Sevo/2040 mL Total Output is approximately 0.0196 which is nearly 2%
- In pressure terms: 2%x760 mmHg is equal to 15.2 mmHg of sevoflurane partial pressure
Split Ratio Takeaways
- Split ratio is rate bypassed to vaporized gas
- It's controlled by a dial which specifies anesthetic flow
Saturated Vapor Pressure Takeaways
- Saturated vapor pressure if pressure of vapor equals equilibrium with its liquid
- Determines how something is how volatile a chemical agent is and how it can be used.
Variable Bypass
- Variable bypass
- Delivers 1% sevo at 2 L/min and 20°C
Vaporizer Tipping
- Tipping excessively leads liquid agent to enter the bypass chamber, leading to an output with extremely high agent vapor concentration
- One milliliter of liquid anesthetic produces approximately 200 ml of anesthetic vapor at 20°C and 1 atm pressure so small quantity of liquid anesthetic in bypass produces large amount of vapor
- When tipped, it shouldn't be used clinically until purged for 20-30 min using high FGF rate by the machine's flowmeters
Tipped Device Troubleshooting
- In this period, concentration control dial should be at high to maximize bypass chamber flow and vaporizing chamber inlet and outlet flows
- Accuracy of vaporizer output must be demonstrated using agent analyzer before placing back in clinical use
- Dräger Vapor 2000 and 3000 series vaporizers have "T" dial that prevents tipping related issues
- GE-Datex-Ohmeda Tec 6 and Aladin cassette vaporizer systems remove dangers of tipping if using those units
Electronic Vaporizers
- Electronic equipment is used
Tec 6 Desflurane Vaporizer
- Desflurane vapor pressure is near 1 atm at 20 C (68 F) and is a high volatility so it's heated and pressurized to 2 atm
- Then it's heated to 39C to create a vapor pressure of 2 atm
- Potency is is only one-fifth that of other agents.
- A pure desflurane vapor joins fresh gas as it exits
- No fresh gas flows through the sump
Vaporizer Limitations
- Not able to compensate changes to elevations
- One must increase the desflurane concentration control, partial pressure, to counter high altitudes
- Required dial setting is Normal % x 760/Ambient pressure
- External heating helps compensate for heat loss with vaporization
- Des is also unstable at room temperature
- Overdoses and hypoxia are possible with Tec 6 without proper high FGF
Dual-Gas Blender
- Operation of Tec 6 more accurately described as dual-gas blender than as a vaporizer
- The vaporizer has two independent gas circuits which are arranged in a parallel
- Fresh gas from flowmeters enters at the fresh gas inlet, passes through fixed restrictor (R1), exits at the vaporizer gas outlet
- vapor circuit originates at desflurane sump as the reservoir
- After the vaporizer becomes warmed, it has a shut-off valve, downstream of the sump, that fully opens when the concentration control valve is "on"
Heated Sump
- Liquid desflurane stored in sump heated to 39°C well above boiling point
- This keeps desflurane in vapor state, with equal to 2 atm
Carrier Gas Inlet
- Fresh gas enters the Tec 6 vaporizer through the inlet so it passes resistor to create a reference working pressure.
Pressure-Matching System
- Differential pressure transducer compares pressure in bypass flow with that in the vapor circuit
- Control electronics then adjust a pressure-regulating valve on the vapor to match pressures in both circuits.
- This allows accurate mixing
Concentration
- Operator can sets desired concentration
- This valve controls desflurane vapor entring the fresh gas stream.
- The resistor provides resistance to stay stable
Outlet
- Blended gas will exit to help the patient breathe
Pressure Regulation
- A pressure-regulating valve lowers pressure to 1.1 atm
- The operator controls output of liquid for a select concentation
- Vapor and fresh gas flow
Transducer
- The differential pressure transducer conveys pressure difference between circuits in the control system.
- The electronics system manages the pressure for gas circuits
- Also has accurate and easy use
###Aladin (GE) Cassette Vaporizers
- Has color coded for specific agent
- Machine excepts only 1 unit at a time
- Divided gas flow
- Changes in ratio
Vapor
- Liquid and gas reunited to regulate
- Machine use coded to help
- Machine has workstation.
- CPU regulator to maintain proper amount
Flow
- System inlet so the fixed and liquid are separate.
- Passes to create good effect
- Unique valve with proper flow
- No way to revert gases back
Breathing Circuits' purpose (Anesthesia breathing)
- It's to deliver gas but eliminate contamination with correct O² with no buildup with reations
Open gas circuits
- Non-contained with all elements
Semi
- Gas for best ventilation to assist
Semi Closed
- US rebreathing and humidity is maintained
Closed
- complete for best
Semi closed facts
- Helps to eliminate carbon
- Contributes to both heart protection
- decreases overall contamination and pollution
- More effective
High Rate of Gas
- Air and water for patients
- Inverse is a cause for rebreather
- It will change the air composition
Major Air
- Fresh air with is helpful
Proper Air
- Amount is proper and effective
Mapleson circuits
- They will act a semi open if needed!
Tubes For Help
- Open circuit helps to flow proper
Valve Facts
- No proper CO² is used and applied
Gas and Air
Small in size to help improve air and gas
Gas Help
- Two and a half will help all patients
- However the amount is at a required ten
Air Facts
- Helps and assist for a greater effect
Explanation for Both
- Bag need help so make it
- Better to have than not or used or what is needed = More help!
D and C
Short and helpful no matter the case = Helps a lot!
Ayre (E and D)
= Used for mostly children
- Must use some sort of oxygen always and or mostly
Jackson System used (and other cases)
Helps and may added for the best to occur
- Can help with all and any
Spont
- Gas is with them in what is done
- With support they benefit
- Limited air is also an issue
Ventilation
- The gas also works more
- Some times will make a difference in air
Air facts
- Should do so with APL
- Gas and also pop off
Air flow
- They will either move from patient
- Or end it so all works together
Key is To assist
- Make sure the bag is good to perform
- In check so what ever comes makes a huge difference
Extra Key Info (Absorb Facts)
- Bag and switch must be in use!
Fresh help facts
- All is needed so its key
- In circuit to help assist
Pressure to help
- For gases and some sorts of bag modes
- Isnt on for gas
Higher Resistance
- Due to the flow or air amount
- And more
Bulk Facts
- Used for complex issues and more
Total Use
- Make it easier
- To use and do as needed
Pressure
- Air and help for 8L limit in set to 70-80 mark. Helpful for air to push through!
Rotation
- Increase so more is added and to help in best case scenario
Bags of Help
- Needs air to help make breathing easiler
- As to go for smaller cases set as is:
- A smaller has less than 30 or up to 50 and X4
- Larger goes up high:
- With 35 and X4 it changes for air
Proper facts for most.
- Make sure to monitor what gas is needed
Breathing info
- Easy to help a lot
Best flow
- Also helpful to push oxygen
Also must
- Be in check.
Extra Tips
- In a flow of check will make sure all is proper
Check points
- Flow as such to help properly
Proper help
- Air will work if okay
The Flow
- Will cause great damage
Gas amount
- It works and more
- The extra help the patient
High pressure test
- Material must be clean
- Use will force and help with patient
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