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ANAESTHETIC EQUIPMENT
content
• Gas supply and distribution system

• Anesthetic work station

• Airway equipment
A. Gas supply and distribution system
   1.Medical gas cylinder and container:
      ~ are tanks or cylinder constracted of steel or alloy.
      ~ It has the ff component;

       body
       stem
       valve
       port
.

Rules for safe use of cylinder
• Cylinder should handle only by personal who has been trained.

•It shouldn’t store >54 ⁰c

•Valves should be closed all the time

•Store them in cool environment

•Cylinder should be dropped and drag
2.Medical gas pip line system
• It is used to deliver non flamable gases
  (oxygen)to anesthetic location.
  components:-
                * centeral supply
                * terminal unit
                * hose
                * piping
• Oxygen stored as cryogenic liquid at low
  pressure or compressed gas in cylinder
• To prevent evaporation ,it should kept below
  BP.
3.Suction Equipment(SE)
.The purpose of SE is to remove or collect
   solids,gases and liquid from the pt and air way
   devices.
.It is an important part of anaesthesia because it is
   essential, in intubation to prevent infection and
   air way narrowing.
.Components;
            ~ vacum source           ~ pipe
            ~ vacum                  ~ pumps
            ~ receiver              ~ vacum inlet
4.OXYGEN CONCENTRATOR
 Used to provide oxygen enriched gas for domestic
   use.
 After being turned the apparatus requiiered 2-
     19min to achive max concentration.

    - adv; cost saving,contaminant filteration,reliable
            and simple.
     - dis; maintenace, hazard, water
            contamination,device malfunction.
B. Anesthetic work station
 integrate component nessary for
 adminstration of anesthesia.

    - it consist ;-
                   1. anesthetic machine
                   2.vapolizer
                   3.ventilater
                   4.breathing system
                   5.scavanging system.
1. anesthetic machine
-Allows to exist gas from the cylinder.
2.VAPORIZERS
     change liqued to vapour.

     most inhalation anesthesia liqud at RT &
      atm.pre.

    boling point will be lower with low
      atm.pres.

 TYPES-
       concentration calibration
       variable by pass vaporizer &
       electronic vaporizer
3.BREATHING SYSTEM & GENERAL
            PRINCIPLE
BS;-gas path way connected to pt though w/c
      gas flow.
 -It extend from the poinet of fesh gas inlet to
      the point at w/c gas escapes toescavengig
       system.
 - factors affectBS:= airway;resistance,laminar
  and trbulen flow,compliance,rebreathing
Connecter
Contents of BS…..
A. Connecter or adapter:-Intended to join to or
                          more similar components
B. Filter : protect the patient from MO and air born
       particles.
   – like dead space and resistance increased, obstruction & leak
     impair it’s normal function.
C. Breathing tube: large-bore plastic ,provide a
           flexible low resistance flow from one part
           to the other.
D. Manual resuscitator: used for patient transport
                  suctioning and during
                  administration of anesthesia and MRI.
Breathing tube
Manual resuscitator.
C. Airway equipment
• 1. Face mask:
  - allows gas administration from the breathing
   system to the patient.
  – It is used to administer anesthesia , NPPV
  – Today disposal mask is widely used
  – Methods of holding mask
     • One & two hand method
Cont’d…
• 2. Mask strap:
   *used to hold the mask firmly on the face.
  *Care need to maintain airway.
Cont’d
3. Airway :
  – It’s purpose is to lift the toungeand epiglotis away
    from postrior pharyngeal wall .
  – Prevent them from obstructing the space
  – Different types of airway
Cont’d….
         HOW TO USE?
  Pharengeal and larengeal reflex should be
   depresed

  Select size

  Airway is insertedwith its concave side facing to
   the upper lip

  Alternative, airway is inserted with the concave
   towards the tongue
Cont’d…
4 .bite block
• placed b/n the molar teeth and gum

• prevent teeth from biting on tracheal tube

• avoid dental injury

• in electroconvelsive therapy and in un consciouss
  to protect tounge and lip
Cont’d….
5. laryngeoscope

• -used to view larynx and adjusent structures
  for the perpuse of inserting a trcheal tube

• -detect voice problems , breathing problems
  and detect stricture
Cont’d…
6 endotracheal tube
• is an instrument inserted through the mouth
   down to the trachea
• done under the sedation
               Purpuse;-
Serve as an open passage
Provide artifisial respiration,PPV,
- It is inserted with the help of laryngoscopy
6.ETT….

• ETT has the ff xic when it is manufactured

 low in cost

 Lack of tissue toxicity

 Noninflamable

 transparency
6.ETT….

• DOUBLE LUMEN ETT(lung isolation device);
  in thoracic surgery there are times needed to
  isolate and selectively not to ventilate one
  lung.
-using aspecial conecter one can not ventilate
  one lung and let it collapse yo produse good
  surgical acsses
6.ETT….

• Indications for lung isolation

Thoracic surgery

To control contamination or hemorrage

Anatomical consideration
6. ETT..
             Broncheal blocker
• Ulternative to using adouble lumen tube

• It is inserted using special conector

• First trachea is inserted with ETT
Reference
• Understanding Anesthesia Equipment(5th
  edi.),Jerry A.Doresh.
•   THANK YOU!
•

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  • 2. content • Gas supply and distribution system • Anesthetic work station • Airway equipment
  • 3. A. Gas supply and distribution system 1.Medical gas cylinder and container: ~ are tanks or cylinder constracted of steel or alloy. ~ It has the ff component; body stem valve port
  • 4.
  • 5. . Rules for safe use of cylinder • Cylinder should handle only by personal who has been trained. •It shouldn’t store >54 ⁰c •Valves should be closed all the time •Store them in cool environment •Cylinder should be dropped and drag
  • 6. 2.Medical gas pip line system • It is used to deliver non flamable gases (oxygen)to anesthetic location. components:- * centeral supply * terminal unit * hose * piping • Oxygen stored as cryogenic liquid at low pressure or compressed gas in cylinder • To prevent evaporation ,it should kept below BP.
  • 7. 3.Suction Equipment(SE) .The purpose of SE is to remove or collect solids,gases and liquid from the pt and air way devices. .It is an important part of anaesthesia because it is essential, in intubation to prevent infection and air way narrowing. .Components; ~ vacum source ~ pipe ~ vacum ~ pumps ~ receiver ~ vacum inlet
  • 8.
  • 9.
  • 10. 4.OXYGEN CONCENTRATOR  Used to provide oxygen enriched gas for domestic use.  After being turned the apparatus requiiered 2- 19min to achive max concentration. - adv; cost saving,contaminant filteration,reliable and simple. - dis; maintenace, hazard, water contamination,device malfunction.
  • 11.
  • 12. B. Anesthetic work station  integrate component nessary for adminstration of anesthesia.  - it consist ;- 1. anesthetic machine 2.vapolizer 3.ventilater 4.breathing system 5.scavanging system.
  • 13. 1. anesthetic machine -Allows to exist gas from the cylinder.
  • 14. 2.VAPORIZERS  change liqued to vapour.  most inhalation anesthesia liqud at RT & atm.pre.  boling point will be lower with low atm.pres.  TYPES- concentration calibration variable by pass vaporizer & electronic vaporizer
  • 15.
  • 16. 3.BREATHING SYSTEM & GENERAL PRINCIPLE BS;-gas path way connected to pt though w/c gas flow. -It extend from the poinet of fesh gas inlet to the point at w/c gas escapes toescavengig system. - factors affectBS:= airway;resistance,laminar and trbulen flow,compliance,rebreathing
  • 18. Contents of BS….. A. Connecter or adapter:-Intended to join to or more similar components B. Filter : protect the patient from MO and air born particles. – like dead space and resistance increased, obstruction & leak impair it’s normal function. C. Breathing tube: large-bore plastic ,provide a flexible low resistance flow from one part to the other. D. Manual resuscitator: used for patient transport suctioning and during administration of anesthesia and MRI.
  • 21. C. Airway equipment • 1. Face mask: - allows gas administration from the breathing system to the patient. – It is used to administer anesthesia , NPPV – Today disposal mask is widely used – Methods of holding mask • One & two hand method
  • 22.
  • 23. Cont’d… • 2. Mask strap: *used to hold the mask firmly on the face. *Care need to maintain airway.
  • 24.
  • 25. Cont’d 3. Airway : – It’s purpose is to lift the toungeand epiglotis away from postrior pharyngeal wall . – Prevent them from obstructing the space – Different types of airway
  • 26.
  • 27. Cont’d…. HOW TO USE? Pharengeal and larengeal reflex should be depresed Select size Airway is insertedwith its concave side facing to the upper lip Alternative, airway is inserted with the concave towards the tongue
  • 28.
  • 29. Cont’d… 4 .bite block • placed b/n the molar teeth and gum • prevent teeth from biting on tracheal tube • avoid dental injury • in electroconvelsive therapy and in un consciouss to protect tounge and lip
  • 30. Cont’d…. 5. laryngeoscope • -used to view larynx and adjusent structures for the perpuse of inserting a trcheal tube • -detect voice problems , breathing problems and detect stricture
  • 31.
  • 32. Cont’d… 6 endotracheal tube • is an instrument inserted through the mouth down to the trachea • done under the sedation Purpuse;- Serve as an open passage Provide artifisial respiration,PPV, - It is inserted with the help of laryngoscopy
  • 33.
  • 34. 6.ETT…. • ETT has the ff xic when it is manufactured  low in cost  Lack of tissue toxicity  Noninflamable  transparency
  • 35. 6.ETT…. • DOUBLE LUMEN ETT(lung isolation device); in thoracic surgery there are times needed to isolate and selectively not to ventilate one lung. -using aspecial conecter one can not ventilate one lung and let it collapse yo produse good surgical acsses
  • 36.
  • 37.
  • 38. 6.ETT…. • Indications for lung isolation Thoracic surgery To control contamination or hemorrage Anatomical consideration
  • 39. 6. ETT.. Broncheal blocker • Ulternative to using adouble lumen tube • It is inserted using special conector • First trachea is inserted with ETT
  • 40. Reference • Understanding Anesthesia Equipment(5th edi.),Jerry A.Doresh.
  • 41. THANK YOU! •