surgical anesthesia
Download
Skip this Video
Download Presentation
Surgical Anesthesia

Loading in 2 Seconds...

play fullscreen
1 / 15

Surgical Anesthesia - PowerPoint PPT Presentation


  • 635 Views
  • Uploaded on

Surgical Anesthesia. Jose D. Chinchilla, LVT, RLATG Training Coordinator Priority One Services. A Components Introduction. Anesthesia Components. Anesthesia Machine. Frame Regulator Flowmeter Oxygen Flush Assembly Vaporizer Anesthetic Supply System Scavenging System.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Surgical Anesthesia' - LionelDale


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
surgical anesthesia

Surgical Anesthesia

Jose D. Chinchilla, LVT, RLATG

Training Coordinator

Priority One Services

A Components Introduction

anesthesia components
Anesthesia Components
  • Anesthesia Machine
  • Frame
  • Regulator
  • Flowmeter
  • Oxygen Flush Assembly
  • Vaporizer
  • Anesthetic Supply System
  • Scavenging System
anesthesia components3
Anesthesia Components
  • Anesthesia Machine
    • Frame
      • Supports the components of the anesthetic machine
      • Several styles available
anesthesia components4
Anesthesia Components
  • Anesthesia Machine
    • Frame
    • Regulator
      • Placed on O2 tanks to decrease pressure from tank
      • 2 types of tanks
        • “E” Tanks
          • 650L @ 1800PSI
        • “H” Tanks
          • 7100L @ 2200PSI
      • Output pressureadjusted with knob
anesthesia components5
Anesthesia Components
  • Anesthesia Machine
    • Frame
    • Regulator
    • Flowmeter
      • Controls the amount of air released into the anesthetic circuit
      • Calculation:(Tidal volume - mL) x (Breathes per minute) /(1000mL/Liter)=Liters Resp. per Minute
anesthesia components6
Anesthesia Components
  • Anesthesia Machine
    • Frame
    • Regulator
    • Flowmeter
    • Oxygen Flush Assembly
      • High flow oxygen straight from O2 supply
      • 45-50psi
      • Do not use while connected to patient through tracheal tube
      • Use to flush anesthetic gases from circuit and minimize exposure
anesthesia components7
Anesthesia Components
  • Anesthesia Machine
    • Flowmeter
    • Oxygen Flush Assembly
    • Vaporizer
      • Changes liquid agent toa vapor
      • Delivers the vapor into the movingsteam of oxygen in controlled amounts
      • Must b e serviced to maintain accuracyof delivery and safety
      • Caution with refurbished models
anesthesia components8
Anesthesia Components
  • Anesthesia Machine
    • Oxygen Flush Assembly
    • Vaporizer
    • Anesthetic Supply System
      • a.k.a Breathing circuits
      • Rebreathing
        • Exhaled air is cleaned and reused with the patient
      • Non-rebreathing
        • Exhaled air is taken by scavenging system
anesthetic supply systems
Anesthetic Supply Systems

Rebreathing Circuit

Non-Rebreathing Circuit

Modified from Nakae Y et al. Anesthesia and Analgesia 1996;83:488-492

anesthesia components10
Anesthesia Components
  • Anesthesia Machine
    • Vaporizer
    • Anesthetic Supply System
    • Scavenging Systems
      • Containing Anesthetic Gas
      • Evacuating Gases
      • Filtering Gases
      • Passive vs. Active Evacuation
      • In-facility Vacuum
      • Fume Hoods & Down Draft Tables
scavenging systems
Scavenging Systems
  • Scavenging Systems
    • Containing Anesthetic Gas
      • NIOSH
        • National Institute for Occupational Safety and Health
      • Permissible Exposure Limits (PEL's)
      • 2 parts per million (PPM)
      • Must make every attempt to limit leaks
      • Where can leaks come from?
scavenging systems12
Scavenging Systems
  • Scavenging Systems
    • Containing Anesthetic Gas
    • Evacuating Gases
      • Waste gas is contained until it can be released to the outside atmosphere
      • Ensure connections are leak free
      • No resistance of gas flow
      • Evacuation lines checked to assure they are clear of obstructions
      • Passive Systems
      • Active Systems
scavenging systems13
Scavenging Systems
  • Scavenging Systems
    • Containing Anesthetic Gas
    • Evacuating Gases
      • In-facility Vacuum
        • Connects the in-house vacuum lines to the exhaust portion of the anesthetic machine
        • Caution: Negative pressure in exhaust line possible
        • Caution: Positive pressure build up in circuit possible
scavenging systems14
Scavenging Systems
  • Scavenging Systems
    • Containing Anesthetic Gas
    • Evacuating Gases
    • Filtering Gases
      • Fume Hoods & Down Draft Tables
        • Applies negative pressure to procedure area not just exhaust.
        • Less possibility of incorrect use
        • Must keep patient and exhaustwithin cabinet or 30” from table
scavenging systems15
Scavenging Systems
  • Scavenging Systems
    • Containing Anesthetic Gas
    • Evacuating Gases
    • Filtering Gases
      • Activated Charcoal
      • Adsorbent Material
      • Management of Canisters
        • 25% of Original Canister Weight
        • Documentation
ad