Five oxygen-nitrous oxide proportioning systems compared. 1996

P Feigenwinter, and T H Pohle, and A M Zbinden
Institute of Anaesthesiology and Intensive Care, University Hospital of Bern, Switzerland.

The majority of contemporary gas delivery modules, on anaesthetic workstations, are equipped with oxygen-nitrous oxide proportioning systems which should prevent the delivery of hypoxic gas mixtures. We investigated five modules, of two different types, using fresh gas flows ranging from 50 mL min-1 to 20 L min-1 with minimally acceptable proportions of oxygen and maximally acceptable proportions of nitrous oxide set at the flow control valves. The oxygen concentrations of the resulting gas mixtures were measured at the fresh gas outlet of the gas delivery modules. All the modules prevented the delivery of hypoxic fresh gas flows both under normal and abnormal working conditions (unequal supply of gas pressures). All systems showed increased O2 concentrations at fresh gas flows below 1 L min-1. The systems can be used with low flow anaesthesia techniques with one exception (Dameca) also with minimal flow techniques.

UI MeSH Term Description Entries
D009609 Nitrous Oxide Nitrogen oxide (N2O). A colorless, odorless gas that is used as an anesthetic and analgesic. High concentrations cause a narcotic effect and may replace oxygen, causing death by asphyxia. It is also used as a food aerosol in the preparation of whipping cream. Laughing Gas,Nitrogen Protoxide,Gas, Laughing,Oxide, Nitrous
D010100 Oxygen An element with atomic symbol O, atomic number 8, and atomic weight [15.99903; 15.99977]. It is the most abundant element on earth and essential for respiration. Dioxygen,Oxygen-16,Oxygen 16
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000776 Anesthesiology A specialty concerned with the study of anesthetics and anesthesia.

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