Part 1 Flashcards
Anesthesia machine functions
- Receives gases from central supply system or pressurized cylinders
- Controls the flow of desired gases & reduces their pressure
- Measures a precise amount of gases & loads them with anesthetic vapors
- Provides gas to patient for breathing
- Provides monitoring & safety features
First anesthesia performed:
- Done by Dr Crawford Long
- March 30, 1842
Oxygen E-cylinder volume and pressure
- 660 Liters
- 2200 psig
Nitrogen E-cylinder volume and pressure
1590 liters
745 psig
Air E-cylinder volume and pressure
- 625 Liters
- 2000 psig
The O2 knob is larger & textured differently than the other gases as an added safety measure as well. True or false?
True
FiO2
O2 (L/min) + Air (L/min) (0.21)
Total Gas Flow (L/min)
Only 1 vaporizer can be used at a time for safety. There is a locking mechanism, called a ______ ______that disengages the other vaporizers once 1 is selected.
vaporizer interlock
MAC of des, sevo, iso respectively
6.0, 2.0, 1.2
Vaporizers have a ____ ____ system or a ___ ___ system.
funnel fill
key fill
Circle System Components
- Fresh Gas Inlet– where anesthetic agents enter circuit
- Unidirectional Valves
- Inspiratory Limb
- Expiratory Limb
- Gas reservoir bag
- APL
- CO2 absorber
Basic Ventilation Modes (3)
- Spontaneous–Patient is breathing on their own without assistance
- Assisted–Augmentation of tidal volume with patient making some respiratory effort
- Controlled–Total control of respiration with patient making no respiratory effort
When to change absorbent
- CO2 in inspired gases
- Color change
- Heat in canisters
In VCV at 500mL, what happens to the peak pressure & plateau pressure when you increase the respiratory rate from 10 to 20 while leaving tidal volume constant & I:E 1:2?
Increase both peak pressure and plateau pressure
What happens to the I:E ratio when you increase respiratory rate?
decreases