anesthesia machine vaporizers. vaporizers convert liquid anesthetic into a volatile inhalation agent...
TRANSCRIPT
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Anesthesia MachineVAPORIZERS
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Vaporizers
• Convert liquid anesthetic into a volatile inhalation agent
• Based on laws of physics
• You must memorize the chemical properties of the volatile agents
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Basic Design• Gas enters vaporizer• Flow is split
– Majority is bypassed– Some enters vaporizing chamber
• Saturated gas leaves chamber• Diluted by bypass gas• Delivered to patient
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Applied Physics
• Vapor pressure
– Dalton’s law
– Based on characteristics of agent
– Varies with temperature
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Applied Physics (con’t)
• Boiling point– Vapor pressure equals atmospheric pressure
• Latent heat of vaporization– Heat required to change liquid into a vapor– Comes from liquid and environment
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Types of Vaporizers
• Historic – Copper kettle– Vernitrol
• Modern– Ohmeda Tec 4– Drager Vapor 19.1
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Characteristics of Drager and Ohmeda
• Variable bypass
• Flow over
• Temperature compensated
• Agent specific
• Out of circuit
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Copper Kettle and Vernitrol
• Measured flow
• Bubble through
• Non temperature compensated
• Multiple agent
• Out of circuit
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Factors that Effect Output
• Flow rate– Accurate at most flows– Lower than dial setting at both extremes of
flow
• Temperature– Vapor pressure varies with temp– Accurate at 20 - 35o C
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Factors Effecting Output (con’t #1)
• Intermittent back pressure– Retrograde flow– Higher than dial setting
• especially at low flows and high ventilator pressures
• Carrier gas composition– N2O causes transient drop
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Vaporizer Interlock System
• Only 1 vaporizer can be turned on
• Gas enters only the “on” vaporizer
• Leak of trace gas is minimized
• Vaporizers are locked into the circuit
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What is the concentration of an anesthetic gas in the
vaporizing chamber?
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Vapor pressure X 100
atmospheric pressure
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Vapor Pressures:
Isoflurane - 238
Enflurane - 175
Halothane - 241
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Isoflurane
238 X 100 = 31%760
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Enflurane
175 X 100 = 23%760
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Halothane
241 X 100 = 32%760
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Desflurane
• Requires special vaporizer
– Vapor pressure 664
– Pressurized, heated chamber
• 1550 mm / Hg prevents boiling
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Liquid to Vapor
CC’s of Gas per ml of Liquid
• Isoflurane -- 206
• Enflurane -- 210
• Halothane -- 240
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How long will your anesthetic gas last?
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Vaporizer problem # 1
•You have 15 cc’s of forane liquid and are giving 1% at 3 l / m. How long will it last?
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Vaporizer problem # 2You have:
Forane 15 mL X 206 cc / ml = 3090 cc
You use:1% X 3000 = 30 cc / min
Therefore:
3090 cc = 103 minutes 30 cc / min
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Vaporizer Hazards
• Misfilling
• Tipping
• Dual vaporizers on
• Leaks
• Free standing vaporizers
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Misfilling• Vaporizers are calibrated according to the
vapor pressure of the agent
• If you fill with an agent with a higher v.p. -- overdose
• If you fill with an agent with a lower v.p. -- underdose