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<?xml-stylesheet type="text/xsl" href="https://www.vetnurse.co.uk/utility/feedstylesheets/rss.xsl" media="screen"?><rss version="2.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:slash="http://purl.org/rss/1.0/modules/slash/" xmlns:wfw="http://wellformedweb.org/CommentAPI/"><channel><title>circle circuit and Nitrous?</title><link>https://www.vetnurse.co.uk/f/clinical-discussions/13329/circle-circuit-and-nitrous</link><description> I am returning to nursing after a break and am just brushing up on some anaesthetic techniques, please can someone remind me 
 
 Can you use N20 with a semi-close circle circuit?? I think the answer is no, however for some reason I am thinking that</description><dc:language>en-US</dc:language><generator>Telligent Community 10</generator><item><title>Re: circle circuit and Nitrous?</title><link>https://www.vetnurse.co.uk/thread/112656?ContentTypeID=1</link><pubDate>Wed, 20 Apr 2011 20:18:31 GMT</pubDate><guid isPermaLink="false">1a0763ec-3885-442c-853e-6cef656dfec5:f670e495-53c6-42e4-b1d1-9478cdc145b2</guid><dc:creator>Susan Jackson</dc:creator><description>&lt;p&gt;[quote user=&amp;quot;Juliet Drummond DAVN (med) RVN D32/33&amp;quot;]
&lt;p&gt;according to veterinary anaesthesia (hall and clark ed. 10 page 415) &lt;/p&gt;
&lt;p&gt;nitrous can be used with both non-rebreathing and circle systems. the proportion of oxygen in the mixture must be a minimum of 30%, nitrous should not be used in low-flow systems (e.g. circle or humphrey ade), unless an oxygen analyser is incorporated into the brathing system. failure of the oxygensupply is disasterous, most modern machines incorporate an alarm or nitrous&amp;nbsp; cut-off in case this happens. the safest delivery of o2/n2o is through a mixer system e.g. quantiflex.&lt;/p&gt;
&lt;p&gt;i would not use nitrous in a closed circle system without a method of monitoring O2 levels.&lt;/p&gt;
&lt;p&gt;hope this helps.&lt;/p&gt;
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[/quote]&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;p&gt;I think I read that and that&amp;#39;s why I had in my head not to use it. Wish I had capnography but haven&amp;#39;t used it since referral practice. &lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: circle circuit and Nitrous?</title><link>https://www.vetnurse.co.uk/thread/112652?ContentTypeID=1</link><pubDate>Wed, 20 Apr 2011 17:39:13 GMT</pubDate><guid isPermaLink="false">1a0763ec-3885-442c-853e-6cef656dfec5:64655b2c-b909-4e9c-9ef0-230143340aaa</guid><dc:creator>Juliet Drummond DAVN (med) RVN D32/33</dc:creator><description>&lt;p&gt;according to veterinary anaesthesia (hall and clark ed. 10 page 415) &lt;/p&gt;
&lt;p&gt;nitrous can be used with both non-rebreathing and circle systems. the proportion of oxygen in the mixture must be a minimum of 30%, nitrous should not be used in low-flow systems (e.g. circle or humphrey ade), unless an oxygen analyser is incorporated into the brathing system. failure of the oxygensupply is disasterous, most modern machines incorporate an alarm or nitrous&amp;nbsp; cut-off in case this happens. the safest delivery of o2/n2o is through a mixer system e.g. quantiflex.&lt;/p&gt;
&lt;p&gt;i would not use nitrous in a closed circle system without a method of monitoring O2 levels.&lt;/p&gt;
&lt;p&gt;hope this helps.&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: circle circuit and Nitrous?</title><link>https://www.vetnurse.co.uk/thread/112650?ContentTypeID=1</link><pubDate>Wed, 20 Apr 2011 16:03:21 GMT</pubDate><guid isPermaLink="false">1a0763ec-3885-442c-853e-6cef656dfec5:9e608a54-75a8-4060-9bbd-aae4a362859c</guid><dc:creator>mrsspider</dc:creator><description>&lt;p&gt;There does seem to be varying answers on this, I am trying to find something about it elsewhere but not having much luck. I guess if I am using a catnograph then as long as the O2 levels are good then it should be fine. 

Thanks for all answers so far

X&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: circle circuit and Nitrous?</title><link>https://www.vetnurse.co.uk/thread/112632?ContentTypeID=1</link><pubDate>Tue, 19 Apr 2011 22:19:46 GMT</pubDate><guid isPermaLink="false">1a0763ec-3885-442c-853e-6cef656dfec5:f05274b9-2e3c-4f3a-abf4-b9de8f6338d0</guid><dc:creator>Nick Shackleton </dc:creator><description>&lt;p&gt;[quote user=&amp;quot;Susan Jackson&amp;quot;]&lt;/p&gt;
&lt;p&gt;Now I&amp;#39;m confused. As a circle circuit I would still say no. You can decide on the nitrous going in but it may circulate and concentrations may increase. Therefore as you won&amp;#39;t know what percentage is circulating you shouldn&amp;#39;t.&lt;/p&gt;
&lt;p&gt;Any one else?&lt;/p&gt;
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&lt;p&gt;[/quote]&lt;/p&gt;
&lt;p&gt;this is why it&amp;#39;s advisable to use capnography so that you can alter your flow rates as required. I have always been taught 50/50 mix when using nitrous with a circle.&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: circle circuit and Nitrous?</title><link>https://www.vetnurse.co.uk/thread/112629?ContentTypeID=1</link><pubDate>Tue, 19 Apr 2011 22:05:07 GMT</pubDate><guid isPermaLink="false">1a0763ec-3885-442c-853e-6cef656dfec5:dfd8605f-4a89-49d8-86f1-fa820a51eeb7</guid><dc:creator>Susan Jackson</dc:creator><description>&lt;p&gt;Now I&amp;#39;m confused. As a circle circuit I would still say no. You can decide on the nitrous going in but it may circulate and concentrations may increase. Therefore as you won&amp;#39;t know what percentage is circulating you shouldn&amp;#39;t.&lt;/p&gt;
&lt;p&gt;Any one else?&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: circle circuit and Nitrous?</title><link>https://www.vetnurse.co.uk/thread/112623?ContentTypeID=1</link><pubDate>Tue, 19 Apr 2011 21:01:57 GMT</pubDate><guid isPermaLink="false">1a0763ec-3885-442c-853e-6cef656dfec5:01a9e408-5101-4d3b-830b-af134533c00e</guid><dc:creator>Nick Shackleton </dc:creator><description>&lt;p&gt;[quote user=&amp;quot;dinkyd&amp;quot;]&lt;/p&gt;
&lt;p&gt;Nitrous&amp;nbsp;is fine to&amp;nbsp;be used as long as the concentration does not exceed 50% ie you would use 1L 02 : 1L NO2.&lt;/p&gt;
&lt;p&gt;[/quote]&lt;/p&gt;
&lt;p&gt;What Dinky said plus if you got it available use capnography so you can monitor CO2/O2 levels in inspired and expired gases&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: circle circuit and Nitrous?</title><link>https://www.vetnurse.co.uk/thread/112620?ContentTypeID=1</link><pubDate>Tue, 19 Apr 2011 20:52:52 GMT</pubDate><guid isPermaLink="false">1a0763ec-3885-442c-853e-6cef656dfec5:07b42e6d-f871-491e-b7eb-af9dc1d6734b</guid><dc:creator>dinkyd</dc:creator><description>&lt;p&gt;Nitrous&amp;nbsp;is fine to&amp;nbsp;be used as long as the concentration does not exceed 50% ie you would use 1L 02 : 1L NO2.&lt;/p&gt;
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