Gas Analyzers Flashcards

1
Q

Ways to Measure Oxygen

A

Electrochemical (Galvanic Sensors/Polargraphic Electrode)

Paramagnetic Technology (ETO2)

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2
Q

Ways to Measure CO2

A

IR, chemical colorimetric analysis
(Raman, Mass Spec)

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3
Q

Ways to Measure Volatile Agents

A

IR, Refractometry, Piezoelectric Activity

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4
Q

Ways to measure N2O

A

IR

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5
Q

Infrared Gas Analyzers

A

gases with two or more dissimilar atoms in molecule have specific, unique IR light absorption spectra

Amount of IR light absorbed proportional to concentration of absorbing molecules –> concentration determined by comparing IR absorbance and sample with known standard

Application of Beer Law

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6
Q

Blackbody Radiation Technology

A
  • Analyzer selects appropriate IR wavelength using individual filter or filter wheel to maximize absorption by selected gas at peak wavelength
    o Minimize absorption by other gases/vapors that interfere with measurement
  • After sensor detects transmitted IR energy, electrical signal produced, amplified  concentration displayed
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7
Q

Elements of Blackbody Radiation Technology

A

Heated element = blackbody emitter

Source of IR – broad IR spectrum

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8
Q

Halogenated Gases and IR

A

separate chamber to measure absorption at several wavelengths

Typically single channel, 4 wavelength IR filter photometers with filter for each anesthetic agent and one for baseline

Each filter transmits specific wavelength of IR light - each gas absorbs differently in selected wavelength bands

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9
Q

Sidestream IR

A

IR continuously focused on spinning wheel
o Wheel: holes with filters for gases to be measured

Gases pumped continuously through measuring chamber with filtered/pulse light passed through sample, reference chambers

Light focused on photosensor
o Amount of light absorbed by sample gas proportional to partial pressure of gases whose IR absorption pattern corresponds to wavelengths selected by filters on chopper wheel

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10
Q

Monochromatic Sidestream IR

A

one wavelength to measure inhalation agent, unable to distinguish btw agents or detect mixture of agents
 Must select agent

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11
Q

Polychromatic Sidestream IR

A

multiple wavelengths to identify and quantify various agents

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12
Q

Mainstream IR

A

Sensor houses both light source and detector, fits over cuvette
o IR light shines through window on one side of adapter
o Sensor receives light on opposite side
o After passing through sample chamber, light goes through three ports in rotating wheel - known high CO2, vented to sensor’s internal atmosphere, sealed cell with N2
o Radiation then passes through filter that screens light to correct wavelength to isolate CO2, directs onto photo detector - signal amplified and sent to display

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13
Q

Microstream IR

A
  • Laser based technology to generate IR emission that precisely matches absorption spectrum of CO2
  • Smaller sample cell, low flow rate (50mL/min)
  • Emission source: glass discharge lamp without an electrode coupled with IR transmitting window
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14
Q

MOA Microstream IR

A

o Electrons generated by radio frequency voltage excite nitrogen molecules
o CO2 molecules excited by collision with nitrogen molecules, emit signature wavelength as drop back down to ground state
o Emission split: one directed to main optical detector via gas sample cell, other passes through reference detector (continuous reference detector)
o Amplitude of signals received by detector depend on amount of radiation absorbed from gas sample
 Absorbed radiation proportional to CO2 concentrations

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15
Q

Advantages of IR Microstream

A
  • Smaller sample cell, low flow rate (50mL/min)
    o Advantageous in very small patients, high respiratory rates, low flow applications, on intubated patients
    o Readings not affected by high concentrations of oxygen or anesthetic gases
    o Measurements Q25 msec – rapid response time
  • Adapter able to be used in any orientation, prevents sampling line from occlusion by water/secretions, line contains hydrophobic filter
    o No water trap necessary
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16
Q

Advantages - IR

A
  • Multigas analysis: CO2, all volatile agents, N2O
  • No need to scavenge gases, portable
  • Quick response time
  • Short warm up time
  • Convenient, require only periodic calibration
  • Lack of interference from other gases (argon, O2 concentrators)
  • Warn of breakdown products/CO - display of wrong or mixed agents
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17
Q

Disadvantages IR

A
  • Cannot measure nonpolar molecules: O2, argon, He, N2, Xe
  • overlap and absorption Spectra between CO2, N2O - false elevations of CO2 with N2O (0.1-1.4Torr increase/10% N2O)
  • Mixture of agents can cause erroneous readings
  • Helium: IR analysis underestimates CO2
  • Interference from other substances, esp methane (also Ethanol, diethyl ether)  spuriously high volatile agent readings
  • Interference from water vapor:  CO2, VA readings
  • Slow response time
  • Radio frequency interference
  • Difficult to add new agents
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18
Q

Piezoelectric

A

o Vibrating crystal coated with layer of lipid to measure VAs
 When exposed to VA, vapor adsorbed into lipid –> resulting change in mass alters vibration frequency
 Electronic system, two oscillating circuits: uncoated (reference) crystal, coated (detector) crystal
 Electrical signal proportional to vapor concentration

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19
Q

Piezoelectric - Advantages

A
  • High accuracy
  • Fast response times
  • No need for scavenging
  • Short warm up time
  • Compact
20
Q

Piezoelectric - Disadvantages

A
  • Only one gas measured
  • No agent discrimination
  • Inaccuracy with water vapor
21
Q

Refractometry

A

Gold standard for inhalants
 Primarily used for vaporizer calibration
 Cannot be used to measure vapor levels of halogenated agents, typical anesthetic gas mixture - sensitivity to N2O

22
Q

MOA Refractometry

A

light passes through gas, refracts it by certain degree - calibrated for specific gas
 Portion split light beam passes through chamber into which sample gas aspirated
 Other portion passes through identical chamber containing air

Vapor slows velocity of light so portion passing through vapor chamber delayed
 Beams recombined to form interference pattern, consists of dark/light bands
* Position of bands viewed through eye piece against superimposed scale= vapor concentration

23
Q

Requirement of Refractometry

A

Requires refractivity number of gas being analyzed

24
Q

What is refractivity?

A

nonlinear function of partial pressure of gas

25
Q

Chemical CO2 Detectors

A

o pH sensitive indicator enclosed in housing: indicator exposed to carbonic acid formed as product btw CO2 + water becomes acidic, changes color
o Returns to resting color unless used with rebreathing system
o Btw patient/BS or patient/RBB

26
Q

What are the two types of chemical CO2 detectors?

A
  1. Hygroscopic
  2. Hydrophobic
27
Q

Hygroscopic Chemical CO2 Detectors

A
  • Hygroscopic filter paper impregnated with pH indicator
  • Mean minimum CO2 for color change = 0.54%
  • Usefulness: few minutes to several hours, prolonged with HME
  • Very affected by humidity
28
Q

Hydrophobic Chemical CO2 Detectors

A
  • Faster response time, less affected by humidity vs hydroscopic
  • Colorimetric device, color change
29
Q

When might use a chemical CO2 detector?

A

confirm correct placement when no capnometer, unreliable in arrest

30
Q

Advantages of Chemical CO2

A
  • Easy to use, disposable, portable
  • Small size, no power source needed
  • Performance not affected by vapors, N2O, CO
  • Low cost
  • Accurate in identifying esophageal intubation
  • Minimal resistance to airflow
  • No cleaning
  • Always ready for use
31
Q

Disadvantages of Chemical CO2 Detector

A
  • Several breaths before conclusions drawn (6 breaths recommended)
  • False neg with low VT, low ETCO2
  • Not helpful during CPR: no CO2 if no circulation to lung
  • IT drugs or gastric contents: irreparable damage
  • No alarm, waveform
  • Difficult to interpret color changes
  • Not cost effective for routine use
  • Semiquantitative info only
32
Q

Paramagnetic O2 Analyzer

A

 O2 = paramagnetic gas, locates self in strongest portion of magnetic field
 When gas that contains oxygen passes through switched magnetic field, gas expands/contracts –> pressure wave proportional to oxygen partial pressure

33
Q

MOA of Paramagnetic O2 Analyzer

A

Sample gas compared to reference gas, passed by rapidly switching magnets
* Difference in magnetic potential generates force
* Difference detected by transducer, converted into electrical signal displayed as oxygen partial pressure or volumes percent

34
Q

Advantages of Paramagnetic O2 Analyzers

A

rapid breath to breath analysis

can be combined with IR analysis of CO2/VA/N2O in same monitor using same diverted gas – single monitor for everything

35
Q

Disadvantages of Paramagnetic O2 Analyzer

A

desflurane causes paramagnetic sensor to read higher than expected; nitrogen accumulation esp during closed circuit ax if air reference gas

36
Q

What are the two types of electrochemical O2 Analyzers?

A
  1. Galvanic
  2. Polarographic
37
Q

MOA Galvanic O2 Sensors

A

Oxygen diffuses through sensor membrane, electrolyte to cathode – reduced, causes current to flow
o Rate at which oxygen enter cell, generates current proportional to pp of oxygen in gas outside membrane
o Display usually in percent oxygen
o Calibrated with gas with known pp of O2 (room air)

38
Q

Sensor of Galvanic O2 Sensor

A

anode, two cathodes surrounded by electrolyte
* Cathode: sensing electrode, not consumed
* Hydroxyl ions formed at cathode react with lead anode = lead oxide - anode gradually consumed

39
Q

Useful Life Span of Galvanic Sensors

A
  • Useful lifespan when package opened, cited in percent hours - product of hours of exposure, oxygen %
    o Always measuring even when no flow passing through machine
    o If exposed to high concentration life expectancy decreased
    o Prolong life by removing from BS when not in use TIROS
40
Q

Power Source of Galvanic Sensor

A

Power source not required to operate analyzer, required to power alarms

41
Q

Reaction within Galvanic Analyzer

A

Reaction equals temperature dependent, usually paired with thermistor

42
Q

Polarographic Sensor Components

A

anode, cathode, electrolyte gas permeable membrane with power source for inducing potential btw anode, cathode

43
Q

Polarographic Sensors MOA

A

O2 molecules diffuse through membrane, electrolyte
o Polarizing voltage applied to cathode, electrons combined with oxygen molecules, reduce them to hydroxide ions
o Current proportional to oxygen partial pressure and sample flows btw anode and cathode

44
Q

Polarographic Sensor - Location

A

inspiratory side of breathing system
* Service life of some galvanic analyzers reduced by exposure to CO2

45
Q

Advantages - Electrochemical O2 Analyzers

A
  • Dependable
  • Accurate (galvanic > polarographic)
  • User Friendly
  • Low cost
  • Compact
  • No effect from argon (O2 concentrators)
46
Q

Disadvantages - Electrochemical O2 Analyzers

A
  • Maintenance (polarographic > galvanic) – frequent membrane, EL changes
  • Calibration required Q8hr
  • Not an integral part of AM, turned on by user
  • Slow response time/cannot measure ETO2
47
Q

Rama Spectroscopy

A

o Measurement of CO2
o Monochromatic argon light beam passed through gas sample
o Light absorbed, re-emitted at different wavelength specific to gas molecule that absorbed it