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Levin P.D. , Levin D. , Avidan A.   British Journal of Anaesthesia 

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Presentation on theme: "Levin P.D. , Levin D. , Avidan A.   British Journal of Anaesthesia "— Presentation transcript:

1 Medical aerosol propellant interference with infrared anaesthetic gas monitors† 
Levin P.D. , Levin D. , Avidan A.   British Journal of Anaesthesia  Volume 92, Issue 6, Pages (June 2004) DOI: /bja/aeh154 Copyright © 2004 British Journal of Anaesthesia Terms and Conditions

2 Fig 1 Tracing of sevoflurane concentration recorded from the anaesthetic agent monitor (Datex‐Ohmeda AS/3) following release of two puffs of salbutamol/HFA‐based inhaler into the breathing circuit (arrow). The patient was being ventilated at a rate of 8 bpm, tidal volume 600 ml, fresh gas flow 2 litre min–1; paper speed 12.5 mm s–1. British Journal of Anaesthesia  , DOI: ( /bja/aeh154) Copyright © 2004 British Journal of Anaesthesia Terms and Conditions

3 Fig 2 Time course for the effect of one puff from an HFA inhaler on the anaesthetic agent monitor at three different fresh gas flow rates. The inhaler was included in a breathing circuit connected to a ventilator and bag. British Journal of Anaesthesia  , DOI: ( /bja/aeh154) Copyright © 2004 British Journal of Anaesthesia Terms and Conditions

4 Fig 3 Infrared absorption spectra for desflurane, enflurane and halothane. Copyright Datex Ohmeda Division, Instrumentarium Corporation. Note different x‐axis scale in Figures 4 and 5. British Journal of Anaesthesia  , DOI: ( /bja/aeh154) Copyright © 2004 British Journal of Anaesthesia Terms and Conditions

5 Fig 4 Infrared absorption spectrum for HFA 134a. Modified with permission from DuPont Fluorochemicals, Wilmington, DE, USA. Note different x‐axis scale in Figures 3 and 5. British Journal of Anaesthesia  , DOI: ( /bja/aeh154) Copyright © 2004 British Journal of Anaesthesia Terms and Conditions

6 Fig 5 Infrared absorption spectrum of CFC‐11. Adapted from reference 11. Note different x‐axis scale in Figures 3 and 4. British Journal of Anaesthesia  , DOI: ( /bja/aeh154) Copyright © 2004 British Journal of Anaesthesia Terms and Conditions

7 Fig 6 Chemical structures of HFA 134a and common volatile anaesthetics. British Journal of Anaesthesia  , DOI: ( /bja/aeh154) Copyright © 2004 British Journal of Anaesthesia Terms and Conditions


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