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Introductory Lecture Series: The Anesthesia Machine PORNSIRI WANNADILOK
Objectives ,[object Object],[object Object],[object Object],[object Object]
vaporizer bellow Corrugated tube Soda lime Flow meter ventilator APL valve Scavenging system
The Anesthesia Machine High Intermediate Low Pressure Circuit
High Pressure System ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
E Size Compressed Gas Cylinders 1800 838 750 2000 Pressure Full (psig) 8.90 8.80 6.76 Full Weight (kg) 5.90 5.90 5.90 5.90 Empty Weight (kg) 625 1590 1590 625 Contents (L) Gas Liquid and gas Liquid and gas Gas State Black/White (yellow) Gray Blue White (green) Color Air Carbon Dioxide Nitrous Oxide Oxygen Cylinder Characteristics
Hanger Yolk ,[object Object],[object Object]
Pressure Reducing Device ,[object Object],[object Object],[object Object]
Pressure Reducing Device ,[object Object]
Intermediate Pressure System ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pipeline Inlet Connections ,[object Object],[object Object],[object Object]
Oxygen Pressure Failure Devices ,[object Object]
Oxygen Pressure Failure Devices ,[object Object],[object Object],[object Object],[object Object]
Pressure Sensor Shut-Off Valve ,[object Object],[object Object]
Oxygen Failure Protection Device (OFPD) ,[object Object],[object Object]
Oxygen Supply Failure Alarm ,[object Object]
Limitations of Fail-Safe Devices/Alarms ,[object Object],[object Object]
Limitations of Fail-Safe Devices/Alarms ,[object Object],[object Object]
Oxygen Flush Valve (O2+) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Second-Stage Reducing Device ,[object Object],[object Object],[object Object]
Low Pressure System ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Flowmeter assembly ,[object Object],[object Object]
Arrangement of the Flow-Indicator Tubes ,[object Object],[object Object],[object Object]
Proportioning Systems ,[object Object],[object Object]
Limitations of Proportioning Systems ,[object Object],[object Object],[object Object],[object Object],[object Object]
Vaporizers ,[object Object]
Classification of Vaporizers Thermocompensation Supplied heat Temperature compensation Injection Bubble through Flow-over Method of vaporization Measured flow Concentration calibrated (e.g. variable bypass) Methods of regulating output concentration
Generic Bypass Vaporizer ,[object Object],[object Object],[object Object]
Factors That Influence Vaporizer Output ,[object Object],[object Object],[object Object]
Factors That Influence Vaporizer Output ,[object Object],[object Object]
The Circuit: Circle System ,[object Object],[object Object],[object Object],[object Object]
Circle System ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Adjustable Pressure Limiting (APL) Valve ,[object Object],[object Object],[object Object]
Scavenging Systems ,[object Object]
Scavenging Systems
Checking Anesthesia Machines ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The end

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The Anesthesia Machine: Introductory Lecture on Components and Safety Systems

  • 1. Introductory Lecture Series: The Anesthesia Machine PORNSIRI WANNADILOK
  • 2.
  • 3. vaporizer bellow Corrugated tube Soda lime Flow meter ventilator APL valve Scavenging system
  • 4. The Anesthesia Machine High Intermediate Low Pressure Circuit
  • 5.
  • 6. E Size Compressed Gas Cylinders 1800 838 750 2000 Pressure Full (psig) 8.90 8.80 6.76 Full Weight (kg) 5.90 5.90 5.90 5.90 Empty Weight (kg) 625 1590 1590 625 Contents (L) Gas Liquid and gas Liquid and gas Gas State Black/White (yellow) Gray Blue White (green) Color Air Carbon Dioxide Nitrous Oxide Oxygen Cylinder Characteristics
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27. Classification of Vaporizers Thermocompensation Supplied heat Temperature compensation Injection Bubble through Flow-over Method of vaporization Measured flow Concentration calibrated (e.g. variable bypass) Methods of regulating output concentration
  • 28.
  • 29.
  • 30.
  • 31.
  • 32.
  • 33.
  • 34.
  • 36.

Editor's Notes

  1. Mention how the machine is divided into high, intermediate, and low pressure systems
  2. At this point mention that in Sudbury Ontario in the 1970s 23 people died because the N20 and O2 pipelines were crossed over during repairs. Ask them what they would do in this situation? Backup oxygen cylinder turned on Pipeline supply must be disconnected (necessary because the machine will preferentially use the pipeline supply as per the high pressure system regulator design).
  3. The concentration control dial may be located in the bypass chamber of the outlet of the vaporizing chamber Mention that the machine standard requires that all vaporizers on the anesthesia workstation be concentration calibrated (aka variable bypass, direct reading, dial-controlled, automatic plenium, percentage-type, tec-type vaporizers, and vaporizer chamber bypass arrangements
  4. C’ = concentration at the new atmospheric pressure C = the concentration at the old atmospheric pressure (i.e. the concentration dialed into the vaporizer) P’ = the barometric pressure for which c’ is being established P = the barometric pressure for which the vaporizer is calibrated (i.e. at the old atmospheric pressure)
  5. The final three points of the advantages section are meant to contrast with the Bain circuit
  6. Mention that the ventilator relief valve is the same thing as the overflow valve mentioned in the previous slides