gasman059
The OG mad scientist
Boomer thx I bet ya the articles are quite conflicting- and furthermore w/o even reviewing the article and reference, childrens anesthesia has tons of variables the must important of all is the different circuits utilized and the possiblity of re-breathing that each circiut brings to the table.
There's Mapleson A-B-D( types of circuits) etc and all to some extent can casue re- breathing if not utilized at a certain flow rates.
Who would have thought i would be getting anesthesia CME'S in reefcentral LOL.
While there's always a possibility of re-breathing with low flow states( meaning utilizing a flowmeter with a fresh gas flow of oxygen below 1 in must cases) our anesthesia machines do provide us alarms to avoid this problem.
The reference to rats as it related to this forum was specific to sevoflurane and seviflurane only and it causes renal faliure when they are exposed to low flow states for prolongued periods of anesthesia/sevoflurane.
Sevoflurane anesthesia is used every x millions around our O.R> w/o problems. Is safe with a great partition coeficient and a proven track record.
Our vapors are quite safe this days and our anesthesia machines even safer---some have changed since I went to medical school/anesthesia residency and so forth but for the must part our avoidance of re-breathing whether it is with soda lime/baralime in a closed or semiopen circuits is completely dependent on our ability to be vigilant and the used of soda/baralime.
There's Mapleson A-B-D( types of circuits) etc and all to some extent can casue re- breathing if not utilized at a certain flow rates.
Who would have thought i would be getting anesthesia CME'S in reefcentral LOL.
While there's always a possibility of re-breathing with low flow states( meaning utilizing a flowmeter with a fresh gas flow of oxygen below 1 in must cases) our anesthesia machines do provide us alarms to avoid this problem.
The reference to rats as it related to this forum was specific to sevoflurane and seviflurane only and it causes renal faliure when they are exposed to low flow states for prolongued periods of anesthesia/sevoflurane.
Sevoflurane anesthesia is used every x millions around our O.R> w/o problems. Is safe with a great partition coeficient and a proven track record.
Our vapors are quite safe this days and our anesthesia machines even safer---some have changed since I went to medical school/anesthesia residency and so forth but for the must part our avoidance of re-breathing whether it is with soda lime/baralime in a closed or semiopen circuits is completely dependent on our ability to be vigilant and the used of soda/baralime.