Effects of the reservoir bag disconnection on inspired gases during general anesthesia: a simulator-based study

Autor: Miljenko Križmarić, Uroš Maver, Marko Zdravković, Dušan Mekiš
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: BMC Anesthesiology, Vol 21, Iss 1, Pp 1-9 (2021)
Druh dokumentu: article
ISSN: 1471-2253
DOI: 10.1186/s12871-021-01256-2
Popis: Abstract Background Fresh gas decoupling is a feature of the modern anesthesia workstation, where the fresh gas flow (FGF) is diverted into the reservoir bag and is not added to the delivered tidal volume, which thus remains constant. The present study aimed to investigate the entraining of the atmospheric air into the anesthesia breathing circuit in case the reservoir bag was disconnected. Methods We conducted a simulator-based study, where the METI HPS simulator was connected to the anesthesia workstation. The effect of the disconnected reservoir bag was evaluated using oxygen (O2) and air or oxygen and nitrous oxide (N2O) as a carrier gas at different FGF rates. We disconnected the reservoir bag for 10 min during the maintenance phase. We recorded values for inspiratory O2, N2O, and sevoflurane. The time constant of the exponential process was estimated during reservoir bag disconnection. Results The difference of O2, N2O and sevoflurane concentrations, before, during, and after reservoir bag disconnection was statistically significant at 0.5, 1, and 2 L/min of FGF (p
Databáze: Directory of Open Access Journals
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