flow and pressure measurement Flashcards

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1
Q

how does a rotameter work?

A

variable orifice, fixed pressure device

has a needle valve controlling flow of gas through a taped transparent tube with a bobbin inside and a calibrated scale.

As the needle valve is opened, the flow will push the bobbin up the tube until the forces pushing upwards and down equilbriate at that particular flow. the user can then read off the calibrated scale the flow rate that corresponds to this position.

if the needle valve is opened further the increase in flow has more force to push the bobbin higher, until a new equilbrium is met.

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2
Q

how accurate are rotameters?

A

+/- 2.5%

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3
Q

How are rotameters calibrated?

A

calibration is specific to each gas this is because the visocity and density of each gas will vary.

At the bottom of the tube, the gap between bobbin and the tube is narrow - this promotes laminar flow. therefore flow is inversely proportional to viscosity and the tube will be calibrated in this way.

At the top of the tube, the gap gets wider and turbulent flow exists whereby flow is inversley propotional to root density so it is calibrated in this way.

the scale on the tube is therefore non-linear and gas specific

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4
Q

what is the calibration error of a rotameter?

A

+/- 2.5%

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5
Q

what are the different methods of measuring pressure?

A

may measure absolute or gauge pressure
absolute - barometer
gauge - manometer, aneroid gauge, electrical gauge

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6
Q

how does a manometer work?

A

a manometer measures gauge pressure - i.e. relative to atmospheric pressure

consists of an open ended fluid filled column that is U shaped.
one end open to atmosphere and the other to a test pressure e.g. BP
without the test pressure - both sides open to atm and the fluid will be same height.
as pressure increases, the column is pushed around.
the height difference between both sides is used to measure the gauge pressure.

pressure = density x height x gravity

may be a water column or mercury column

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7
Q

what is the difference between using a mercury vs water manometer?

A

mercury is more dense than water so requires more force to push the column. hence better for larger pressures as its more practical.

water is more sensitive to small changes but less practical

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8
Q

pros and cons of a manometer?

A

pros - easy, no electricity , simple, no calibration needed

cons - mercury poisoning, glass can break, impractical because big and hence limited to smaller pressures.

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9
Q

what is a barometer?

A

a method for measuring absolute pressure
fluid filled U shaped column
one side open to the test pressure
the other side closed of and contains a torricellian vaccuum - SVP of mercury.

height difference = absolute pressure

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10
Q

which barometers measure sub atmospheric pressure?

A

fortins and Goethe device
the height will fall rather than rise

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11
Q

what are the pros and cons of barometers?

A

simple
can measure absolute pressure
can measure subatmospheric pressure

however mercury poisoning, glass breaking, bulky , impractical

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12
Q

how does an aneroid gauge work?

A

e.g. bourdon gauge

coiled metal tube
fixed volume
exerting pressure causes it to unwind
linked to levers and a pointer
calibrated scale

measures gauge pressure

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13
Q

pros and cons of aneroid gauge?

A

pros - simple, compact, no electrics, can measure much higher pressures as not requiring column of liquid. used in pipelines and cylinders. can measure low pressures and amplify by altering compliance of lever.
accurate and sensitive

however sensitive to temp change , vibrations
demonstrates hysteresis

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14
Q

safety features of a bourdon gauge?

A

colour coded in anaesthesia
if it breaks the gas will vent to protect other parts of the machine
face of the gauge is made of heavy glass.

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15
Q

when are low pressure aneroid gauges used?

A

measuring airway pressures quickly

however these are more sensitive to temp/ vibrations.

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16
Q

what are electrical gauges?

A

Electrical pressure gauges measure pressure by converting the physical force of the pressure into an electrical signal

e.g strain gauges or piezo electric sensor

strain gauge - stretches, resistance changes
piezoelectric - mechanical stress causes crystals to vibrate and produce current

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17
Q

how can flow be measured?

A

flow is the volume of fluid passing a point per unit time.
measurement methods can be categorised as

variable pressure, fixed orifice devices = pneumotacograph
variable orifice, fixed pressure devices = rotameter, wrigths peak flow meter.

wrights respirometer - measures volume which can then measure flow

18
Q

why is flow measured?

A

monitoring patient - gas flows inspiration and expiration
monitoring performance of anaesthetic equiptment

19
Q

how does a pneumotochograph work?

A

constant orifice variable pressure device
relies on hagen poiseulle law and thus laminar flow.

flow proportional to pressure difference and inversely proportional to resistance. since resistance is constant, flow can be measured via pressure difference.

pressure measured by 2 pressure transducers either side.
used to measure respiratory flows on anaesthetic machine.

20
Q

what are the different types of pneumotacographs?

A

screen - mesh made of gauze
Fleisch - fine hollow tubes
hot wire - measures flow by chnage in resistance as the gas cool the wire the faster they flow.
pilot tube

21
Q

what are the problems with a fleish pneumotachograph?

A

can become clogged with sputum, water
larger dead space
larger and more costly as difficylt to clean
good for short term monitoring

22
Q

what are the causes of inaccuracies of pneumtachographs?

A

viscosity and temperature - affects flow
the viscosity can be altered by different anaesthetic gases and different proportions
usually contains heating element to maintain a constant temp

23
Q

how do pilot tubes work? advantages

A

hgiher the flow, the bigger the pressure difference
no resistance mechanism

cheap and small
not much addition of dead space

24
Q

overall pros and cons of pneumotacographs..

A

pros - no moving parts so reliable and accurate, rapid. relatively low resistance to gas flow.

cons - risk of water condensation and blockage, can heat to reduce this. flow must be laminar for accuracy - temp and velocity can effect this.

25
Q

how do flow meters work?

A

constant pressure, variable orifice device.

needle valve
connical transparent tube
bobbin

gas in - upward force on bobbin,
gravity bobbin down
tappered tube allows gas to escape so forces are better balanced
calibrated scale - specific to that gas.

26
Q

how are rotameters calibrated?

A

flow is proportional to viscosity at the bottom and density at the top

bottom = tube = laminar =hagen poielle = viscosity
top = orifice = turbulent = density = grahams law

hence calibrated scale specific for each gas

also depends on tube size and weight of bobbin
calibration occurs at room temp and atmospheric pressure.

27
Q

why do rotameter use tapered tubes?

A

improves accuracy and sensitivity
without this the force of gas would push bobbin very high
by allowing some gas to escape it balances the forces better so a more convienient scale can be used and more sensitive and accurate measurements

28
Q

where are rotameters found?

A

wall O2 supply
many anaesthetic machines for O2, air, N20

29
Q

what is the difference between a tube and an orifice?

A

tube - length > diameter - laminar
orifice other way round - turbulent

30
Q

pros and cons of rotameters?

A

Advantages:
- Cheap and simple
- No electricity needed
- Quick and easy – the dial and flow measurement are the same
- Accurate for flows used clinically

Disadvantages
- Unique to each gas at set temperature and pressure – can’t be interchangeable
- Bobbin can get stuck leading to inaccurate measurements.
- Temperature changes and viscosity alters accuracy
- Not as accurate at low flows
- Pressure changes – if the pressure increases above the bobbin it will lead to inaccurate reading

31
Q

what can cause the bobbin to get stuck and how is this reduced?

A

Due to static forces – this is reduced by using antistatic materials on the lining of cylinder and bobbin. Also use of anti-static sprays to remove any charges.

Due to contamination with dirt - more at low flow rate when gap between bobbin is small. Filter can be used before gas enters flowmeter.

32
Q

what are the different bobbin shapes

A

flat top - read above
spherical - read in centre
with grooves - to cause rotation to show not stuck

33
Q

tell me about a flow control valve..

A

manual adjustment of knob controls opening of a valve at base of rotameter
increase flow by rotating anticlockwise
also reduces from 4 bar to 1bar pressure

34
Q

what are the safety features of rotameters?

A
  • Bobbin has vanes/grooves to make it spins - shows user it is not stuck
  • Anti-static coating to prevent bobbin sticking
  • Downstream flow restrictor prevent back pressure from breathing system pushing bobbin back down
  • Hypoxic guard – mechanical link between N20 and O2
  • Oxygen rotameter is last in the row to be added, this prevents hypoxic mixtures if there was an upstream leak.
  • Colour coded
  • O2 control know - designed to have a different shape in order to allow identification and recognition by touch.
35
Q

how does a wrights respirometer work?

A

Measures volumes of gas which can be converted to flow measurement by dividing by unit time.
The device consists of a vane (blade on a rotating axis) surrounded by housing containing angled slits.
-as enters one end and causes the angled slits to rotate which causes the vane at the centre of the device to rotate and spin. moves the pointer over the calibrated dial so that the volume can be read.

36
Q

when is wrights respirometer used?

A

measures volumes e.g. tidal volume

37
Q

pros and cons of wrights respirometer?

A
  • Advantages:
    o Simple, small and convenient
    o Cheap
    o Mechanical so no electricity needed.
  • Disadvantages:
    o Inaccurate for continuous flow
    o Over reads at high flow and under reads at low flows – due to inertia of the vane itself.
    o Can become contaminated by condensation / dirt – causes resistance to movement of pointer and parts to erode – inaccuracies
    o Only measures flow in one direction.
38
Q

how has wrights respirometer design improved?

A
  • Use electronics to detect the vane rotation
  • Reducing inaccuracies due to inertia and water condensation.
  • Also can now measure bidirectional flow
  • This movement is measured by infra-red beams positioned across the vane.
39
Q

how does a wrights peak flow meter work?

A
  • A simple low-cost device which records the maximal expired flow.
  • It is a variable orifice, fixed pressure device
  • Patient is asked to take a deep breath in and then then exhale as fast and hard as possible into the flow meter.
  • The air flow pushes against a diaphragm which moves in direction of air flow down a tube.
  • The movement of the diaphragm is opposed by a spring – this is to balance the forces more otherwise the diaphragm would go all the way to the end even at low flows – improves accuracy.
  • As the diaphragm is pushed, it exposes an orifice for air to escape along the sides – the further the diaphragm travels, the more air can escape as the orifice increases in size.
  • A sliding marker indicating the peak flow rate is pushed by the diaphragm, which continues to move along the tube until the spring force overcomes the air pressure.
  • Mini wright peak flow meter is more common now – the classic peak flow device.
40
Q

what is a vitalograph?

A
  • A set of bellows connected to a pen draws a trace on a piece of paper as the patient breathes in and out through the bellows. Can be used to measure and represent volumes.
  • How spirometry works.
41
Q

how can gas volume be measured

A

wrights respirometer
benedict roth spirometer
vitalograph

42
Q

what is a benedict roth spirometer?

A

upside down bell attached to mouth pieces , rises and falls with ventilation

can be used to calculate BMR