Anesthesi circuits and ventilators Flashcards

1
Q

What are the different types of anesthesia breathing circuits? (4)

A

Open
Semi-open
Semi-closed
Closed

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2
Q

This is the method by which the first true anesthetics were given. A bit of cloth saturated with ether or chloroform was held over the patient’s face. The patient breathed the vapors and became anesthetized.

A

Open

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3
Q

Semi-open examples (6)

A

Mapleson A-F

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4
Q

Parts common in a semi-closed circuit (3)

A

1) Fresh gas
2) Corrugated tubing
3) Pop-off valve

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5
Q

Advantage of a semi-closed circuit

A

1) Simple
2) Can change anesthesia depth rapidly
3) Portable
4) Lack of rebreathing

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6
Q

Disadvantage

A

1) Lack of conservation of heat & moisture
2) Limited scavenging
3) High FGF

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7
Q

Parts of a semi-closed system

A

1) Inspiratory limb
2) Expiratory limb
3) Unidirectional valves
4) CO2 absorber
5) Reservoir bag,
6) Pop-off valve (expiratory limb)

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8
Q

The prototypical semiclosed circuit is the?

A

Circle system

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9
Q

Advantage of circle system (3)

A

1) Conserves heat
2) Low FGF
3) Can scavenge

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10
Q

Disadvantage of a circle system (1)

A

1) Multiple connections and can cause disconnections

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11
Q

Rank the Mapleson circuits in order of efficiency for controlled

A

(Dog Bites Can Ache)

Controlled: D > B > C > A

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12
Q

Rank the Mapleson circuits in order of efficiency for spontaneous

A

(All Dogs Can Bite)

Spontaneous: A > D > C > B

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13
Q

What circuit is most commonly used in anesthesia delivery systems today?

A

Circle syste,

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14
Q

Soda lime is the most common absorber, and at most can absorb ____ L of CO2 per 100 g of absorbent.

A

23

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15
Q

Factors affecting efficiency of absorption include (3)

A

1) Size of the canister
2) Size of absorbent granule
3) Channeling

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16
Q

Optimal size of absorbent

A

2.5 mm between 4 and 8 mesh

17
Q

Most common dye used for absorbent

A

Ethyl violet

18
Q

How can you check the competency of a circle system?

A

You should close the pop-off valve, occlude the Y-piece, and press the O2 flush valve until the pressure is 30 cm H2O. The pressure will not decline if there are no leaks.

19
Q

What gas is used to drive the bellows in an anesthesia ventilator?

A

O2

20
Q

pressure inside the bellows is always slightly higher than in the chamber outside which is?

A

1 to 2 cm H2O

21
Q

A patient being ventilated with an ascending bellows ventilator is usually subjected to _ to _ cm H2O because of the weight of the bellows.

A

2.5 to 3 cmH2O