• Anaesthesia · Jun 1998

    Isoflurane concentrations using uncompensated vaporisers within circle systems.

    • S Brosnan, B Royston, and D White.
    • Department of Anaesthetics, Northwick Park Hospital, Harrow, London, UK.
    • Anaesthesia. 1998 Jun 1; 53 (6): 560-4.

    AbstractIn a series of studies designed to investigate the need for a temperature-compensated vaporiser for use in a circle system, we first studied temperature changes within and isoflurane concentration delivered by a Komesaroff vaporiser during bench tests using different gas flows. Agent temperature and vapour concentration decreased as predicted by the Antoine equation. Using the vaporiser within a circle system during clinical anaesthesia, we then studied 20 patients breathing spontaneously and a further 10 patients receiving controlled ventilation, measuring the temperature of the agent within the vaporiser and the concentration of agent inspired by a the patient. In clincial use with the frest gas flows of 1-3.min-1, the inspired agent concentration did not decrease despite the decrease in temperature of the liquid isoflurane in the vaporiser.

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