Study Objective: To examine the physical characteristics of 3-liter anesthesia rebreathing bags and assess their use for oxygen (O2) storage and delivery during transport of patients from the operating room (OR) to the recovery area.
Setting: Anesthesia laboratory and pulmonary function laboratory.
Interventions: Five anesthesia rebreathing bags were inflated in 2-liter increments with 50 liters of air and then deflated in 2-liter increments. A sixth bag was inflated twice in 1-liter increments. Five bags were inflated with 60 liters of gas and allowed to deflate through a cannula functioning as a flow restrictor. Five bags were inflated with 100 liters of gas and checked for damage.
Measurements And Main Results: Pressure measurements done at 2-liter increments during inflation of the bags to 50 liters and deflation showed a consistent pattern of pressure-volume relationships. Assessment of gas flow during deflation through the cannula showed flow rates ranging from 3.1 to 3.8 L/min after 5 minutes of continuous flow and from 2.8 to 3.8 L/min after 10 minutes. No weakness or damage was apparent in bags inflated with 100 liters of gas.
Conclusions: It is feasible for anesthesia rebreathing bags distended with O2 to serve as lightweight, inexpensive, and easily monitored alternatives to O2 tanks for O2 delivery during transport of patients from the OR to the recovery area.
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http://dx.doi.org/10.1016/0952-8180(92)90135-n | DOI Listing |
A A Pract
December 2024
From the Department of Anesthesiology and Critical Care, All India Institute of Medical Sciences (AIIMS), Rishikesh, Uttarakhand, India.
The circle breathing system enables rebreathing using a carbon dioxide absorbent. This case report presents a rare incident of ventilation failure in a 30-year-old male patient due to a broken unidirectional valve in a soda lime canister. Despite the anesthesia machine passing automated checks, a mechanical blockage from caked soda lime in the inner inspiratory chamber led to insufficient tidal volume delivery.
View Article and Find Full Text PDFJ Clin Monit Comput
October 2024
Department of Applications Engineering, Vero Biotech Inc, Atlanta, GA, USA.
Nitric oxide (NO), a selective pulmonary vasodilator, can be delivered via conventional ICU and anesthesia machine ventilators. Anesthesia machines are designed for rebreathing of circulating gases, reducing volatile anesthetic agent quantity used. Current cylinder- and ionizing-based NO delivery technologies use breathing circuit flow to determine NO delivery and do not account for recirculated gases; therefore, they cannot accurately dose NO at FGF below patient minute ventilation (MV).
View Article and Find Full Text PDFRespir Care
March 2024
Mr Vieira and Drs Rodrigues, Sklar, and Brochard are affiliated with Keenan Research Centre, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Unity Health Toronto, Ontario, Canada; and Interdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, Ontario, Canada. Dr Masy is affiliated with Keenan Research Centre, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Unity Health Toronto, Ontario, Canada; Interdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, Ontario, Canada; and Division of Pediatric Critical Care, Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada. Messrs LaRue and Laengert and Dr de Lannoy are affiliated with McMaster University, Center of Excellence in Protective Equipment and Materials, Hamilton, Ontario, Canada; and McMaster University, Department of Chemical Engineering, Hamilton, Ontario, Canada. Dr Lo is affiliated with Department of Anesthesiology and Pain Service, St. Michael's Hospital, Toronto, Ontario, Canada. Dr Petrosoniak is affiliated with Emergency Physician and Trauma Team, St. Michael's and Department of Medicine, University of Toronto, Ontario, Canada. Dr Rezende-Neto is affiliated with Trauma and Acute Care General Surgery, Department of Surgery, St. Michael's Hospital, Toronto, Ontario, Canada.
Background: Aerosol barrier enclosure systems have been designed to prevent airborne contamination, but their safety has been questioned. A vacuum tent was designed with active continuous suctioning to minimize risks of aerosol dispersion. We tested its efficacy, risk of rebreathing, and usability on a bench, in healthy volunteers, and in an ergonomic clinical assessment study.
View Article and Find Full Text PDFDiving Hyperb Med
March 2024
Technical diver, Wetmules Dive Team.
Bounce diving with rapid descents to very deep depths may provoke the high-pressure neurological syndrome (HPNS). The strategy of including small fractions of nitrogen in the respired gas to produce an anti-HPNS narcotic effect increases the gas density which may exceed recommended guidelines. In 2020 the 'Wetmules' dive team explored the Pearse Resurgence cave (New Zealand) to 245 m breathing trimix (approximately 4% oxygen, 91% helium and 5% nitrogen).
View Article and Find Full Text PDFInt J Mol Sci
March 2024
Department of Biomedical Sciences, University of Padova, 35131 Padova, Italy.
Underwater activities are characterized by an imbalance between reactive oxygen/nitrogen species (RONS) and antioxidant mechanisms, which can be associated with an inflammatory response, depending on O availability. This review explores the oxidative stress mechanisms and related inflammation status (Oxy-Inflammation) in underwater activities such as breath-hold (BH) diving, Self-Contained Underwater Breathing Apparatus (SCUBA) and Closed-Circuit Rebreather (CCR) diving, and saturation diving. Divers are exposed to hypoxic and hyperoxic conditions, amplified by environmental conditions, hyperbaric pressure, cold water, different types of breathing gases, and air/non-air mixtures.
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