These tools will no longer be maintained as of December 31, 2024. Archived website can be found here. PubMed4Hh GitHub repository can be found here. Contact NLM Customer Service if you have questions.


PUBMED FOR HANDHELDS

Search MEDLINE/PubMed


  • Title: A clinical determination of optimal fresh gas flow in a baby EAR circuit.
    Author: Theerapongpakdee S, Phanpanusit T, Horatanaruang D, Bunsangjaroen P, Limpkulwathanaporn P, Thananun M, Nonlhaopol D.
    Journal: J Med Assoc Thai; 2009 May; 92(5):667-71. PubMed ID: 19459529.
    Abstract:
    OBJECTIVE: Baby EAR circuit is a new modified enclosed afferent reservoir anesthetic breathing system for pediatric patients. By following His Majesty the King of Thailand's self-sufficiency philosophy, the circuit is simple and made of low-cost and easy-to-find materials found in the operating room. This present study was to investigate clinical use of the circuit and to find the optimal fresh gas flow in clinical setting. MATERIAL AND METHOD: A prospective descriptive study was conducted in pediatric patients, weighed 5-20 kg, anesthetized for surgery. The Baby EAR breathing circuit was used for general anesthesia with endotracheal tube and control ventilation. Different fresh gas flow of 3, 2.5, 2 and 1.5 liter per minute (LPM) was used consecutively. The authors recorded end-tidal carbon dioxide (EtCO2) and mean inspiratory carbon dioxide (ImCO2) while using fresh gas flow at 3, 2.5, 2, and 1.5 LPM. EtCO2 of 35-45 mmHg and ImCO2 of < 6 mmHg were considered clinically acceptable. RESULTS: Fifty patients were enrolled. Mean value (95% CI) of EtCO2 at fresh gas flow rate of 1.5, 2, 2.5, and 3 LPM were 39.6 (39.2, 40.9), 36.7 (35.5, 37.8), 35.4 (34.3, 36.4), and 35.4 (34.3, 36.4) mmHg respectively. Mean value (95% CI) of ImCO2 at fresh gas flow rate of 1.5, 2, 2.5, and 3 LPM were 4.0 (3.0, 4.9), 2.4 (1.7, 3.0), 1.8 (0.9, 2.6), and 1.3 (0.9, 1.7) mmHg respectively. Percentage of patients (95% CI) who had clinically acceptable EtCO2 and ImCO2 at fresh gas flow rate of 1.5, 2, 2.5, and 3 LPM were 70% (56.2, 80.9), 92% (81.2, 96.8), 98% (89.5, 99.6), and 100% (92.9, 100) respectively. No patients had serious complications. CONCLUSION: Baby EAR circuit can be made economically and used safely for general anesthesia with control ventilation in pediatric patients weighing 5 to 20 kg at optimal fresh gas flow of 3 LPM.
    [Abstract] [Full Text] [Related] [New Search]