Anaesthetic Circuits Flashcards
What is the other name for a closed and semi-closed circuit
Closed - usually re-breathing
Semi-Closed - non-rebreathing
What is the function of the APL valve
Safety feature
Will open once a high pressure is reached in the circuit
How do you choose the correct reservoir bag?
Should be roughly 3-6 x patients tidal volume (VT)
What factors should you consider when choosing the right circuit
aim to tailor the circuit size to the patient
Minimise airway resistance
Minimise deadspace
Choose correct reservoir bag size
Name 2 points about non-rebreathing circuits
- Do not require a CO2 absorbent canister
- Waste CO2 and waste inhalational gases are flushed to scavenging system
- Rely on high pressure gas flow to flush exhaled gases from the circuit so they cannot be rebreathed by the patient
What is the circuit factor for ayres T-piece and Bane
2.5-3
How does the ayres T-piece inspiration work:
Patient inhales FGF coming down the inspiratory limb from the anaesthetic machine
How does ayres T-piece expiration work:
o Expiration
Patient breathes out waste gases which are flushed down the expiratory limb by the high FGF eventually leaving via the APL valve (if a paediatric modification) to scavenge
Two parts of expiration:
• 1. Dead space gas that hasn’t participated in gas exchange therefore not a lot of CO2 and does not contain volatile agent
• 2. Voiding of waste gases and will include large amounts of CO2
o Expiratory pause
Tubing fills with fresh gas
What weight is suitable for Ayres T-piece?
under 8-10kg
What weight is suitable for bain circuit?
over 10kg
What kind of system is a bain seen as?
Coaxial system. Tip: Always check inner tubing is in palce
How does bain inspiration works?
Fresh gas flow from the machine travels up the inner tube. When the animal breathes in it takes fresh gas from the inner tube plus gas from the outer expiratory limb.
How does the bain expiration work?
o Expiration
Exhaled gases are forced up the expiratory outer tube
• Some do pass into the inner limb where they mix with fresh gas
o Expiratory pause
Incoming fresh gas flushes any exhaled gas through the inner tubing and out of the circuit. therefore high fresh gas flow is required as this prevents the patient rebreathing exhaled gases
What is the circuit factor for a lack and magill?
1-1.5
What weight is a lack and mini lack suitable for?
Lack - over 10kg
Mini-lack - under 10kg