Comparison of circle absorber and Jackson-Rees systems for paediatric anaesthesia. 1988

D K Rasch, and L Bunegin, and J Ledbetter, and D Kaminskas
Department of Anesthesiology, University of Texas Health Science Center, San Antonio 78284-7838.

To evaluate effects of anaesthesia delivery systems on respiratory work in infants, we measured end-tidal PCO2 (PETCO2), transcutaneous PCO2 (PTcCO2) respiratory rate and arterial blood gases in infants (ages 0.2 to 23.8 months) anaesthetised with either a Jackson-Rees (n = 11) or paediatric circle absorber system (n = 15). Two hours after induction, with assisted ventilation there was no difference in PETCO2, PTcCO2, respiratory rate, pH or PaCO2 in infants anaesthetised with either system. In the laboratory, we measured inspiratory and expiratory resistances to breathing through each system at various tidal volumes and total gas flows into the circuit. These values were compared to resistances created by breathing through an appropriately sized endotracheal tube. Although there was lower resistance to ventilation through Jackson-Rees system, both systems had lower resistances for almost all flows tested than breathing through an endotracheal tube alone (p less than 0.05). The paediatric circle absorber system is an efficient apparatus for anaesthetising spontaneously breathing infants.

UI MeSH Term Description Entries
D007223 Infant A child between 1 and 23 months of age. Infants
D007231 Infant, Newborn An infant during the first 28 days after birth. Neonate,Newborns,Infants, Newborn,Neonates,Newborn,Newborn Infant,Newborn Infants
D011897 Random Allocation A process involving chance used in therapeutic trials or other research endeavor for allocating experimental subjects, human or animal, between treatment and control groups, or among treatment groups. It may also apply to experiments on inanimate objects. Randomization,Allocation, Random
D012119 Respiration The act of breathing with the LUNGS, consisting of INHALATION, or the taking into the lungs of the ambient air, and of EXHALATION, or the expelling of the modified air which contains more CARBON DIOXIDE than the air taken in (Blakiston's Gould Medical Dictionary, 4th ed.). This does not include tissue respiration ( Breathing
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000764 Anesthesia, Closed-Circuit Inhalation anesthesia where the gases exhaled by the patient are rebreathed as some carbon dioxide is simultaneously removed and anesthetic gas and oxygen are added so that no anesthetic escapes into the room. Closed-circuit anesthesia is used especially with explosive anesthetics to prevent fires where electrical sparking from instruments is possible. Anesthesia, Rebreathing,Closed-Circuit Anesthesia,Anesthesia, Closed Circuit,Anesthesias, Closed-Circuit,Anesthesias, Rebreathing,Closed Circuit Anesthesia,Closed-Circuit Anesthesias,Rebreathing Anesthesia,Rebreathing Anesthesias
D000769 Anesthesia, Inhalation Anesthesia caused by the breathing of anesthetic gases or vapors or by insufflating anesthetic gases or vapors into the respiratory tract. Insufflation Anesthesia,Anesthesia, Insufflation,Inhalation Anesthesia

Related Publications

D K Rasch, and L Bunegin, and J Ledbetter, and D Kaminskas
May 2001, Paediatric anaesthesia,
D K Rasch, and L Bunegin, and J Ledbetter, and D Kaminskas
September 1996, Anesthesia and analgesia,
D K Rasch, and L Bunegin, and J Ledbetter, and D Kaminskas
January 1968, Acta anaesthesiologica Scandinavica,
D K Rasch, and L Bunegin, and J Ledbetter, and D Kaminskas
February 2012, Paediatric anaesthesia,
D K Rasch, and L Bunegin, and J Ledbetter, and D Kaminskas
June 1980, South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde,
D K Rasch, and L Bunegin, and J Ledbetter, and D Kaminskas
August 1980, South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde,
D K Rasch, and L Bunegin, and J Ledbetter, and D Kaminskas
February 1978, Respiratory care,
D K Rasch, and L Bunegin, and J Ledbetter, and D Kaminskas
January 1976, Anesthesia and analgesia,
D K Rasch, and L Bunegin, and J Ledbetter, and D Kaminskas
August 1979, Praktische Anasthesie, Wiederbelebung und Intensivtherapie,
D K Rasch, and L Bunegin, and J Ledbetter, and D Kaminskas
October 1989, Anesthesia and analgesia,
Copied contents to your clipboard!