By Tanya Duke-Novakovski, de Vries, Chris Seymour
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Additional resources for BSAVA Manual of Canine and Feline Anaesthesia and Analgesia
15). To prevent misconnection to the wrong gas service, the probe for each gas supply has a protruding indexing collar with unique diameter, which only fits the Schrader assembly for the same gas 21 Chapter 4 The anaesthetic machine and vaporizers Self-sealing wall mounted terminal outlets ('Schrader sockets') for (a) oxygen and (b) nitrous oxide. Schrader probes and hoses for the terminal outlets. From top to bottom: medical air; oxygen; nitrous oxide. Alarms There are several different types of alarm used within the hospital medical gas system: the main plant alarms and the local alarms.
After a short pause, exhaled gas passes into the breathing tubing and is driven by the continuous flow of fresh gas to the exterior through the tubing itself, or an open-ended reservoir bag, or an expiratory valve. The tubing thus refills with fresh gas during the expiratory pause. 3). Additional points of interest include: There are no one-way valves or absorbent canisters in this system. Thus, resistance to breathing is low and the system is suitable for small patients. The resistance from the adjustable pressure limiting (APL) valve on the paediatric Mapleson D is small (2-3 cmH 2 0) when the valve is fully open The requirement for high fresh gas flows makes this system uneconomical in patients greater than 10-12 kg It must be possible to contain the patient's tidal volume within the breathing tubing and the reservoir bag, otherwise waste gas (or air) will be entrained during inspiration The narrow breathing tubing may cause resistance during peak expiratory gas flow.
Disposable paediatric versions of this system are in common use in veterinary practice. Models should be chosen with an APL valve (Mapleson D). This ensures that, during routine use, pressure in excess of the limit cannot be transmitted to the patient: a suitable pressure limit is 35 cmH 20. This is the maximum pressure that can be generated before the valve opens. In addition, easy and safe scavenging is possible via a standard scavenging shroud. Disposable systems must be discarded on a regular basis.
BSAVA Manual of Canine and Feline Anaesthesia and Analgesia by Tanya Duke-Novakovski, de Vries, Chris Seymour