Hostname: page-component-8448b6f56d-42gr6 Total loading time: 0 Render date: 2024-04-25T00:29:33.662Z Has data issue: false hasContentIssue false

Charcoal as an airway isoflurane reflection filter

Published online by Cambridge University Press:  16 August 2006

S. L. Dahm
Affiliation:
Department of Anaesthesia, University Hospital of Lund, Lund, Sweden
P. Steptoe
Affiliation:
Department of Anaesthesia, University Hospital of Lund, Lund, Sweden
H.-H. Luttropp
Affiliation:
Department of Anaesthesia, University Hospital of Lund, Lund, Sweden
P. Reinstrup
Affiliation:
Department of Anaesthesia, University Hospital of Lund, Lund, Sweden
Get access

Abstract

The isoflurane-saving and CO2-retaining effects of a charcoal filter were compared with a Siemens standard heat and moisture (HME) exchanger and an emptied specimen (dummy). Isoflurane was delivered during the inspiratory phase and consumption investigated at 10, 15 and 25 cycles min−1. The investigation was performed by ventilation with humidified air with a constant end-tidal CO2 and temperature. For a comparison, isoflurane was delivered in a conventional manner via the ventilator. The arrangement with a charcoal filter reduced the isoflurane consumption by a factor of 2.0−2.6, depending on ventilatory rate. Most of the saving was a result of the method of isoflurane delivery (factor 1.4−2.0), while adding the reflector gave a further reduction (factor 1.3−1.5). One circumstance that reduced the net efficiency of the charcoal filter was that it also reflected CO2; consequently, total minute ventilation had to be increased to maintain constant end-tidal CO2.

Type
Laboratory Study
Copyright
1998 European Society of Anaesthesiology

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)