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Anesthesia-Anesthesia Machine PDF
Anesthesia-Anesthesia Machine PDF
Flowmeter:
From the cylinder, pressure gauge and pressure-reducing valve, oxygen travels through a
low-pressure hose to the flowmeter.
Allows anesthetist to provide measured amount of oxygen to the patient
Flow rates are expressed in liters of gas per minute (L/min).
Oxygen enters the flowmeter and is delivered to the vaporizer at a constant rate as indicated
on the flowmeter dial.
Vaporizer:
Oxygen exits the top of the flowmeter and continues via a low-pressure hose to the vaporizer.
The vaporizer is designed to convert liquid anesthetic to vapor and to add a controlled amount
of vapor to the carrier gas flowing through the machine. If the oxygen flow is turned off, no
anesthetic is delivered to the patient.
1
All of the machines we use utilize out-of-circuit precision vaporizers. The precision vaporizer
allows delivery of a precise amount of anesthetic vapor to the breathing circuit.
The dial of the vaporizer is graduated in percent concentrations of inhalant in the inspired gas.
A tube running from the outlet side of the vaporizer attaches to the breathing circuit and is
called the common gas outlet.
An indicator window at the base of the vaporizer indicates the amount of liquid anesthetic
remaining. This should be checked before the machine is used and refilled if the level is
below the half-way mark.
The flow of gas through the machine is circular: reservoir bag--inhalation valve--inspiration hose--animal-
- expiration hose--exhalation valve--carbon dioxide canister--back to the inhalation valve.
2
Components of Rebreathing/Circle System
Fresh gas inlet
After passing through the vaporizer, the oxygen and isoflurane enters a low pressure hose
that delivers the fresh gas to the patient breathing circuit.
Inhalation flutter valve, breathing tubes, Y-piece and exhalation flutter valve
Fresh gas entering the circuit passes through a one-way valve (flutter or unidirectional valve),
which allows flow in only one direction (toward the patient).
When the patient inhales, the inhalation flutter valve opens, allowing oxygen and anesthetic to
enter the hoses. These gases travel through the inspiratory hose to the Y-piece and are
directed into the endotracheal tube to the patients lungs.
Exhaled gases travel from the patient through another hose. Where the exhalation hose
attaches to the machine, there is an expiratory flutter valve which prevents expired gases
from returning to the patient without first passing through the CO2 absorber.
Pressure manometer
Measures the pressure of the gases within the anesthetic system (expressed in centimeters
of water), which in turn reflects the pressure of gas in the animal's airway and lungs.
Pressures over 15 cm of water indicate a build-up of air within the machine, either because
the pop-off valve is closed or the oxygen flow rate is too high
When bagging an animal pressure should not exceed 15 to 20 cm H20.
If a pressure manometer is not present, the anesthetist must rely on observation of the
reservoir bag and patient to assess gas pressure. In this case, the reservoir bag should be
compressed just enough to cause a slight rise in the patient's chest.