| Peer-Reviewed

The Effect of the Length of Delivery Tubing to the Anesthetic Gas Concentration

Received: 30 November 2014    Accepted: 6 December 2014    Published: 18 December 2014
Views:       Downloads:
Abstract

In this study, it was investigated whether the gas concentration delivered to the patient, shows changes depending on the length of the delivery tubing or not. The length of delivery tubing is important during performance tests of anesthesia vaporizer, because it may be shortened or extended if it is required. But its material type and its width does not change. To investigate the effect of length of delivery tubing, the performance test of anesthesia vaporizer may be performed for the tubes with different lenghts. In this study, for 3 different length of delivery tubing (A: 48cm, B: 100cm and C: 150cm), sevoflurane and isoflurane concentration measurements were performed. Because 5 different vaporizers were measured for each length of delivery tubing, totally 30 measurements (15 isoflurane and 15 sevoflurane) were performed. For the concentration measurements, PF301 Flow analyser (imt medical-Switzerland) and OR703 Multi Gas analyser (IRMA AX) were used. Measurement procedure were obtained from Inspection and Preventive Maintenance System (IPM) of Emergency Care Research Institute (ECRI). For sevoflurane; measurements were taken in the scale of 1%, 2%, 3%, 4%, 5%, 6% and 8%, whereas for isoflurane, were taken in the scale of 1%, 2%, 3%, 4% and 5%. Measurements were performed with an oxygen flow of 5L/min. The measurement results were investigated statistically and their mean and standard deviation were calculated. As a result, it was seen that, anesthesia vaporizers give concentrations close to each other, independently with the length of delivery tubing. There was no any gas absorption as like expected.

Published in International Journal of Biomedical Science and Engineering (Volume 2, Issue 6)
DOI 10.11648/j.ijbse.20140206.11
Page(s) 52-55
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Anesthesia, Anesthetic gas, Vaporizer, Sevoflurane, Isoflurane

References
[1] M. Sezdi, A. Akan, and F. Tank, “Anesthetic gas concentration changes related to the temperature and humidity in high and low flow anesthesia,” in Proc. 31st Annual Int. Conf. IEEE Eng. Med. Biol. Soc., Minnesota, 2009, pp. 877-880.
[2] M. Soro, F. J. Belda, M. L. Garcia-Perez, and G. Aguilar, “Functional characteristics of anesthesia machines with circle breathing system,” Current Anaesthesia & Critical Care, vol. 21(5-6), pp. 239-243, 2010.
[3] R. A. Caplan, M. F. Vistica, K. L. Posner, and F. W. Cheney, “Adverse anesthetic outcomes arising from gas delivery equipment: a closed claims analysis,” Anaesthesiology, vol. 87, pp. 741-748, 1997.
[4] J. B. Cooper, R. S. Newbower, and R. J. Kitz, “An analysis of major errors and equipment failures in anesthesia management:Considerations for prevention and detection,” Anesthesiology, vol. 60, pp. 34-42, 1984.
[5] S. Fasting, and S. E. Gisvold, “Equipment problems during anaesthesia-are they a quality problem?” British Journal of Anaesthesia, vol, 89(6), pp. 825-831, 2002.
[6] J. G. Hardman, and I. K. Moppett, “To err is human,” Br. J. Anaesth, vol. 105(1), pp. 1-3, 2010.
[7] J. B. Cooper, R. S. Newbower, C. D. Long, and B. McPeek, “Preventable anesthesia mishaps: a study of human factors,” Qual. Saf. Health Care, vol. 11, pp. 277-282, 2002.
[8] M. Van Beuzekom, F. Boer, S. Akerboom, and P. Hundson, “Patient safety: latent risk factors,” Br. J. Anaesth, vol. 105, pp. 52-59, 2010.
[9] American Society for Testing and Materials (ASTM), “F1161-88 Standard specification for minimum performance and safety requirements for components and systems of anesthesia gas machines,” 1994.
[10] Emergency Care Research Institute (ECRI), “Health devices inspection and preventive maintenance system procedure No: 436-20010301 Anesthesia unit vaporizers,” 2001.
[11] Association of Anaesthetists of Great Britain and Ireland, “Checking anaesthetic equipment,” 3rd ed., London, 2004.
[12] M. Sezdi, “Controlling of anesthesia vaporizers in medical calibration measurement,” in Proc.2nd International Conference on Quality in Healthcare Accreditation and Patient Safety, Antalya, 2008, pp. 49.
[13] Handbook of OR703, imt medical, Switzerland.
[14] I. Karagöz, and S. Cecelioğlu, “The analysis of different approaches related to the measurement uncertainty in biomedical calibration,” G.U. Journal of Science, vol. 20(3), pp. 61-67, 2007.
Cite This Article
  • APA Style

    Mana Sezdi. (2014). The Effect of the Length of Delivery Tubing to the Anesthetic Gas Concentration. International Journal of Biomedical Science and Engineering, 2(6), 52-55. https://doi.org/10.11648/j.ijbse.20140206.11

    Copy | Download

    ACS Style

    Mana Sezdi. The Effect of the Length of Delivery Tubing to the Anesthetic Gas Concentration. Int. J. Biomed. Sci. Eng. 2014, 2(6), 52-55. doi: 10.11648/j.ijbse.20140206.11

    Copy | Download

    AMA Style

    Mana Sezdi. The Effect of the Length of Delivery Tubing to the Anesthetic Gas Concentration. Int J Biomed Sci Eng. 2014;2(6):52-55. doi: 10.11648/j.ijbse.20140206.11

    Copy | Download

  • @article{10.11648/j.ijbse.20140206.11,
      author = {Mana Sezdi},
      title = {The Effect of the Length of Delivery Tubing to the Anesthetic Gas Concentration},
      journal = {International Journal of Biomedical Science and Engineering},
      volume = {2},
      number = {6},
      pages = {52-55},
      doi = {10.11648/j.ijbse.20140206.11},
      url = {https://doi.org/10.11648/j.ijbse.20140206.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijbse.20140206.11},
      abstract = {In this study, it was investigated whether the gas concentration delivered to the patient, shows changes depending on the length of the delivery tubing or not. The length of delivery tubing is important during performance tests of anesthesia vaporizer, because it may be shortened or extended if it is required. But its material type and its width does not change. To investigate the effect of length of delivery tubing, the performance test of anesthesia vaporizer may be performed for the tubes with different lenghts. In this study, for 3 different length of delivery tubing (A: 48cm, B: 100cm and C: 150cm), sevoflurane and isoflurane concentration measurements were performed. Because 5 different vaporizers were measured for each length of delivery tubing, totally 30 measurements (15 isoflurane and 15 sevoflurane) were performed. For the concentration measurements, PF301 Flow analyser (imt medical-Switzerland) and OR703 Multi Gas analyser (IRMA AX) were used. Measurement procedure were obtained from Inspection and Preventive Maintenance  System (IPM) of Emergency Care Research Institute (ECRI). For sevoflurane; measurements were taken in the scale of 1%, 2%, 3%, 4%, 5%, 6% and 8%, whereas for isoflurane, were taken in the scale of 1%, 2%, 3%, 4% and 5%. Measurements were performed with an oxygen flow of 5L/min. The measurement results were investigated statistically and their mean and standard deviation were calculated. As a result, it was seen that, anesthesia vaporizers give concentrations close to each other, independently with the length of delivery tubing. There was no any gas absorption as like expected.},
     year = {2014}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - The Effect of the Length of Delivery Tubing to the Anesthetic Gas Concentration
    AU  - Mana Sezdi
    Y1  - 2014/12/18
    PY  - 2014
    N1  - https://doi.org/10.11648/j.ijbse.20140206.11
    DO  - 10.11648/j.ijbse.20140206.11
    T2  - International Journal of Biomedical Science and Engineering
    JF  - International Journal of Biomedical Science and Engineering
    JO  - International Journal of Biomedical Science and Engineering
    SP  - 52
    EP  - 55
    PB  - Science Publishing Group
    SN  - 2376-7235
    UR  - https://doi.org/10.11648/j.ijbse.20140206.11
    AB  - In this study, it was investigated whether the gas concentration delivered to the patient, shows changes depending on the length of the delivery tubing or not. The length of delivery tubing is important during performance tests of anesthesia vaporizer, because it may be shortened or extended if it is required. But its material type and its width does not change. To investigate the effect of length of delivery tubing, the performance test of anesthesia vaporizer may be performed for the tubes with different lenghts. In this study, for 3 different length of delivery tubing (A: 48cm, B: 100cm and C: 150cm), sevoflurane and isoflurane concentration measurements were performed. Because 5 different vaporizers were measured for each length of delivery tubing, totally 30 measurements (15 isoflurane and 15 sevoflurane) were performed. For the concentration measurements, PF301 Flow analyser (imt medical-Switzerland) and OR703 Multi Gas analyser (IRMA AX) were used. Measurement procedure were obtained from Inspection and Preventive Maintenance  System (IPM) of Emergency Care Research Institute (ECRI). For sevoflurane; measurements were taken in the scale of 1%, 2%, 3%, 4%, 5%, 6% and 8%, whereas for isoflurane, were taken in the scale of 1%, 2%, 3%, 4% and 5%. Measurements were performed with an oxygen flow of 5L/min. The measurement results were investigated statistically and their mean and standard deviation were calculated. As a result, it was seen that, anesthesia vaporizers give concentrations close to each other, independently with the length of delivery tubing. There was no any gas absorption as like expected.
    VL  - 2
    IS  - 6
    ER  - 

    Copy | Download

Author Information
  • Biomedical Device Technology Programme, Istanbul University, Istanbul, Turkey

  • Sections